Starfile / California

ST. JOHN OF GOD RETIREMENT

2468 SOUTH ST ANDREWS PLACE, LOS ANGELES, CA 90018 · CCN 055253

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$124,440

Number of fines

3

Number of penalties

4

Payment denials

1

Inspection citations (77)1 immediate jeopardy3 actual harm

1. DF0641Ensure each resident receives an accurate assessment.2026-01-15 · Health

   Potential for more than minimal harm

2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-15 · Health

   Potential for more than minimal harm

3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-15 · Health

   Potential for more than minimal harm

4. DF0584Honor 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.2025-12-05 · Health · corrected 2025-12-26

   Potential for more than minimal harm

5. DF0641Ensure each resident receives an accurate assessment.2025-12-05 · Health · corrected 2025-12-26

   Potential for more than minimal harm

6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-05 · Health · corrected 2025-12-26

   Potential for more than minimal harm

7. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-12-05 · Health · corrected 2025-12-26

   Potential for more than minimal harm

8. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-05 · Health · corrected 2025-12-26

   Potential for more than minimal harm

9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-05 · Health · corrected 2025-12-26

   Potential for more than minimal harm

10. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

12. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

13. EF0728Ensure 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.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

14. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

15. EF0761Ensure 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.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

16. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

17. BF0838Conduct 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.2025-12-05 · Health · corrected 2025-12-26

    Potential for minimal harm

18. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

19. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

20. BF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-12-05 · Health · corrected 2025-12-26

    Potential for minimal harm

21. EF0880Provide and implement an infection prevention and control program.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

22. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

23. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-12-05 · Health · corrected 2025-12-26

    Potential for more than minimal harm

24. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-13 · Health · corrected 2025-03-25

    Potential for more than minimal harm

25. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-21 · Health · corrected 2025-03-12

    Potential for more than minimal harm

26. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

27. DF0558Reasonably accommodate the needs and preferences of each resident.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

28. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

29. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

30. DF0641Ensure each resident receives an accurate assessment.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

31. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

33. DF0679Provide activities to meet all resident's needs.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

34. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

35. DF0688Provide 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.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

36. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

37. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

38. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

39. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

40. EF0761Ensure 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.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

41. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

42. DF0825Provide or get specialized rehabilitative services as required for a resident.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

43. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

44. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

45. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

46. FF0880Provide and implement an infection prevention and control program.2024-10-04 · Health · corrected 2024-10-25

    Potential for more than minimal harm

47. BF0732Post nurse staffing information every day.2024-08-19 · Health · corrected 2024-08-29

    Potential for minimal harm

48. DF0693Ensure 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.2024-07-22 · Health · corrected 2024-08-05

    Potential for more than minimal harm

49. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-07-03 · Health · corrected 2024-07-31

    Potential for more than minimal harm

50. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-12 · Health · corrected 2024-07-12

    Potential for more than minimal harm

51. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-12 · Health · corrected 2024-07-12

    Potential for more than minimal harm

52. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-22 · Health · corrected 2024-06-21

    Potential for more than minimal harm

53. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-22 · Health · corrected 2024-06-21

    Actual harm

54. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-26 · Health · corrected 2024-05-03

    Potential for more than minimal harm

55. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-15 · Health · corrected 2024-04-24

    Potential for more than minimal harm

56. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-16 · Health · corrected 2024-02-28

    Potential for more than minimal harm

57. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-05 · Health · corrected 2024-01-30

    Actual harm

58. DF0880Provide and implement an infection prevention and control program.2024-01-05 · Health · corrected 2024-01-30

    Potential for more than minimal harm

59. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-21 · Health · corrected 2024-01-08

    Potential for more than minimal harm

60. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-20 · Health · corrected 2024-01-26

    Potential for more than minimal harm

61. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-20 · Health · corrected 2024-01-26

    Actual harm

62. DF0641Ensure each resident receives an accurate assessment.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

63. DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

64. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

65. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

66. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-02 · Health · corrected 2023-10-26

    Immediate jeopardy

67. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

68. EF0761Ensure 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.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

69. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

70. EF0814Dispose of garbage and refuse properly.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

71. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

72. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

73. EF0880Provide and implement an infection prevention and control program.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

74. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-10-02 · Health · corrected 2023-10-26

    Potential for more than minimal harm

75. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-24 · Health · corrected 2023-09-13

    Potential for more than minimal harm

76. DF0880Provide and implement an infection prevention and control program.2023-08-24 · Health · corrected 2023-09-13

    Potential for more than minimal harm

77. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-20 · Health · corrected 2023-04-05

    Potential for more than minimal harm

Ownership

Other facilities in LOS ANGELES

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.