Inspection citations
3’23
8’24
30’25
19’26
60 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 13, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Aug 13, 2026 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Routine |
| Aug 13, 2026 | D · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| Aug 13, 2026 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Aug 13, 2026 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Aug 13, 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. | Routine |
| Aug 13, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Aug 13, 2026 | 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. | Routine |
| Aug 13, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Aug 13, 2026 | E · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Aug 13, 2026 | F · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Aug 13, 2026 | E · potential | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Routine |
| Aug 13, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 13, 2026 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Aug 13, 2026 | D · potential | Keep all essential equipment working safely. | Routine |
| Aug 13, 2026 | D · potential | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Routine |
| Aug 13, 2026 | 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 24, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Feb 27, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 3, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Jun 17, 2025 | D · potential | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Complaint |
| Jun 17, 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 |
| May 25, 2025 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| May 25, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| May 25, 2025 | D · potential | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Routine |
| May 25, 2025 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| May 25, 2025 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Routine |
| May 25, 2025 | 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 |
| May 25, 2025 | E · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| May 25, 2025 | E · 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 |
| May 25, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| May 25, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 25, 2025 | 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 |
| May 25, 2025 | E · potential | Provide routine and 24-hour emergency dental care for each resident. | Routine |
| May 25, 2025 | E · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| May 25, 2025 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| May 25, 2025 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| May 25, 2025 | D · potential | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Routine |
| May 25, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 25, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| May 25, 2025 | E · potential | Keep all essential equipment working safely. | Routine |
| May 25, 2025 | B · minimal | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Routine |
| May 25, 2025 | E · potential | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| May 25, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| May 25, 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 |
| May 7, 2025 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Apr 15, 2025 | 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. | Complaint |
| Apr 4, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 4, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Nov 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 |
| Nov 22, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
| Aug 19, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jun 18, 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 18, 2024 | D · potential | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Complaint |
| May 27, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 27, 2024 | B · minimal | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Routine |
| May 27, 2024 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Oct 18, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Oct 5, 2023 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 5, 2023 | 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. | Complaint |
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
Sunset Park Healthcare
2250 29th Street, Santa Monica, CA 90405 · (310) 450-7694
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055748
- Certified beds
- 44
- Legal owner
- Sunset Park Healthcare, LLC
- Part of
- Abraham Bak & Menachem Gastwirth
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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