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Nursing home · Medicare certified

St. John of God Retirement

2468 South St Andrews Place, Los Angeles, CA 90018

(323) 731-0641 Compare Map
Overall1★☆☆☆☆
Inspections1★☆☆☆☆
Staffing3★★★☆☆
Quality4★★★★☆
Federal fines$109,5292 fines

Inspection citations

79 shown

DateSeverityWhat inspectors foundVisit
Jul 23, 2026 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
Jul 23, 2026 D · potential Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Complaint
Jun 12, 2026 D · potential Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Complaint
Jun 12, 2026 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
Feb 24, 2026 D · potential Ensure that residents are fully informed and understand their health status, care and treatments. Complaint
Jan 15, 2026 D · potential Ensure each resident receives an accurate assessment. Complaint
Jan 15, 2026 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
Jan 15, 2026 D · potential Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Complaint
Dec 5, 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 5, 2025 D · potential Ensure each resident receives an accurate assessment. Routine
Dec 5, 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. Routine
Dec 5, 2025 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
Dec 5, 2025 D · potential Provide appropriate pressure ulcer care and prevent new ulcers from developing. Routine
Dec 5, 2025 D · potential Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Routine
Dec 5, 2025 D · potential Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Routine
Dec 5, 2025 D · potential Provide safe and appropriate respiratory care for a resident when needed. Routine
Dec 5, 2025 D · potential Provide safe, appropriate pain management for a resident who requires such services. Routine
Dec 5, 2025 E · potential 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. Routine
Dec 5, 2025 E · potential Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Routine
Dec 5, 2025 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
Dec 5, 2025 F · potential Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Routine
Dec 5, 2025 B · minimal 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. Routine
Dec 5, 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 5, 2025 D · potential 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. Routine
Dec 5, 2025 B · minimal Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Routine
Dec 5, 2025 E · potential Provide and implement an infection prevention and control program. Routine
Dec 5, 2025 D · potential Make sure that a working call system is available in each resident's bathroom and bathing area. Routine
Dec 5, 2025 D · potential Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Routine
Mar 13, 2025 D · potential Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Complaint
Feb 21, 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
Oct 4, 2024 D · potential Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Routine
Oct 4, 2024 D · potential Reasonably accommodate the needs and preferences of each resident. Routine
Oct 4, 2024 E · potential Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Routine
Oct 4, 2024 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 4, 2024 D · potential Ensure each resident receives an accurate assessment. Routine
Oct 4, 2024 D · potential Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Routine
Oct 4, 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 4, 2024 D · potential Provide activities to meet all resident's needs. Routine
Oct 4, 2024 D · potential Provide appropriate treatment and care according to orders, resident’s preferences and goals. Routine
Oct 4, 2024 D · potential Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Routine
Oct 4, 2024 D · potential Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Routine
Oct 4, 2024 D · potential Provide safe and appropriate respiratory care for a resident when needed. Routine
Oct 4, 2024 D · potential Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Routine
Oct 4, 2024 E · potential Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Routine
Oct 4, 2024 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 4, 2024 F · potential Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Routine
Oct 4, 2024 D · potential Provide or get specialized rehabilitative services as required for a resident. Routine
Oct 4, 2024 D · potential Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Routine
Oct 4, 2024 D · potential Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Routine
Oct 4, 2024 D · potential 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. Routine
Oct 4, 2024 F · potential Provide and implement an infection prevention and control program. Routine
Aug 19, 2024 B · minimal Post nurse staffing information every day. Complaint
Jul 22, 2024 D · potential Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Complaint
Jul 3, 2024 D · potential Ensure that residents are fully informed and understand their health status, care and treatments. Complaint
Jun 12, 2024 D · potential Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Complaint
Jun 12, 2024 D · potential Develop and implement policies and procedures to prevent abuse, neglect, and theft. Complaint
May 22, 2024 E · potential Ensure services provided by the nursing facility meet professional standards of quality. Complaint
May 22, 2024 G · harm Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Complaint
Apr 26, 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. Complaint
Apr 15, 2024 D · potential Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Complaint
Feb 16, 2024 D · potential Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Complaint
Jan 5, 2024 G · harm Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Complaint
Jan 5, 2024 D · potential Provide and implement an infection prevention and control program. Complaint
Dec 21, 2023 D · potential Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Complaint
Nov 20, 2023 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 20, 2023 G · harm Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Complaint
Oct 2, 2023 D · potential Ensure each resident receives an accurate assessment. Routine
Oct 2, 2023 D · potential Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Routine
Oct 2, 2023 E · 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 2, 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 2, 2023 J · harm Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Routine
Oct 2, 2023 D · potential Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Routine
Oct 2, 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 2, 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 2, 2023 E · potential Dispose of garbage and refuse properly. Routine
Oct 2, 2023 D · potential Administer the facility in a manner that enables it to use its resources effectively and efficiently. Routine
Oct 2, 2023 D · potential Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Routine
Oct 2, 2023 E · potential Provide and implement an infection prevention and control program. Routine
Oct 2, 2023 D · potential Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 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

St. John of God Retirement
2468 South St Andrews Place, Los Angeles, CA 90018 · (323) 731-0641

Visit date: ____________   Spoke with: ______________________

Record on file

Certification
Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN)
055253
Certified beds
156
Legal owner
St. John of God Retirement and Care Center

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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