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Nursing HomeMedicaid Investigative

Beachwood Post-Acute & Rehab

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1340 15th Street, Mid-City · Santa Monica, CA 90404227 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 168 Google reviews

5
4
3
2
1
Beachwood Post-Acute & Rehab Nursing Home in Santa Monica, CA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (26 vs median 13.0)

Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · Worst in PACS GROUP chain · $177,718 in fines

Source: Medicare data

What this means for your family

This facility offers an outstanding rehabilitation and activities program that can significantly improve a patient's quality of life during recovery. However, families must remain highly vigilant regarding call light response times and wound care, as multiple reports indicate that staffing shortages can lead to serious lapses in basic care.

Google Reviews

Google Reviews

168 reviews on Google
Families considering Beachwood Post-Acute & Rehab will find a facility with a highly praised rehabilitation and activities department, often noted for its compassionate nursing and physical therapy. However, there are significant, recurring reports of serious neglect, including delayed response to call lights, improper wound care, and instances of patient falls. While many recent reviews highlight improvements and professional administration, others warn of severe understaffing and communication breakdowns.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean6.0Activities9.0Meds4.0MemoryN/AComms3.0ValueN/A

Strengths

  • Excellent physical and occupational therapy teams
  • Engaging and energetic activities department
  • Compassionate and professional nursing staff
  • Clean and well-maintained rehabilitation environment

Concerns

  • Delayed response to call lights and patient needs (mentioned by 6 reviewers)
  • Inadequate wound care and pressure sore management (mentioned by 3 reviewers)
  • Difficulty reaching staff or administration via telephone (mentioned by 5 reviewers)
  • Staffing shortages leading to neglect (mentioned by 4 reviewers)
  • Issues with patient property/theft (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(2)'15(3)'17(8)'19(9)'21(13)'23(13)'25(20)'26(10)

Distribution · 176 analyzed

5
115
4
7
3
3
2
10
1
41
22 reviews posted between Apr 24, 2024May 3, 2024 · 22 were 5-star
12 reviews posted between Apr 30, 2024May 3, 2024 · 12 were 5-star
12 reviews posted between Apr 8, 2024Apr 10, 2024 · 11 were 5-star

How They Respond to Reviews

5%response rate
Generic

The owner uses highly templated, repetitive responses that rely on directing complainants to a specific phone number or administrator. While they occasionally use the reviewer's name or offer condolences, they rarely address the specific allegations of neglect or medical errors.

Questions for Your Tour

  • 1We've heard wonderful things about your therapy and activities teams; could you tell us more about how the daily schedule keeps residents engaged?
  • 2How does the nursing team ensure that call lights are answered promptly, especially during busy shift changes?
  • 3What specific protocols are in place to ensure medication management is accurate and consistent for every resident?
  • 4Could you walk us through your process for managing wound care and preventing pressure sores for patients in rehab?
  • 5How does the administration ensure that families can easily reach the right staff member or supervisor if we have a question or concern?
  • 6What steps are being taken to improve the dining experience and the variety of meals provided to residents?

Personalized based on this facility's data


Key Review Excerpts

The PT was excellent and even the food was good!

Rehab patient · 2026★★★★★

The activities department at this facility are top tier... they’re always hosting the best parties on the patio for the staff and residents, all of the residents really enjoy the karaoke, bingo, and all the events they host!

Long-term resident's family · 2024★★★★★

My mother was admitted to the Sub Acute unit in December 2024 and I can honestly say that she has received excellent care! I am a nurse so YES I micromanage her care!

Long-term resident's family · 2025★★★★★
Source: 168 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.52hrs
70%
Registered nurses for medical care
Total Nursing
4.76hrs
OK
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
5%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
19.4%
CA
10.7%
Los angeles
9.7%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility16.2%
Worse than Avg
Here
16.2%
US
4.9%
CA
4.5%
Los angeles
5.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
14.4%
CA
10.4%
Los angeles
12.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
15.4%
CA
11.6%
Los angeles
11.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.4%
Mixed vs Avgs
Here
11.4%
US
19.5%
CA
13.7%
Los angeles
10.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.3%
CA
10.5%
Los angeles
9.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.3%
Worse than Avg
Here
2.3%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

24deficiencies
3penalties
Well above state avg (15.4)
80 complaint-triggered
$177,718 in fines

This facility has an alarming pattern of family complaints, with 54% of deficiencies triggered by families reporting concerns, indicating persistent quality issues. The most recurring problems involve accident prevention and safety hazards, medication management, and care planning failures. While all violations show correction dates, the frequency of repeated safety violations and medication errors across multiple years suggests ongoing systemic problems that families should carefully investigate before choosing this facility.

Sep 5, 2025Complaint
1
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Aug 18, 2025Complaint
1
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jul 22, 2025Complaint
3
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 15, 2025Complaint
2
0573Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Jun 27, 2025Routine
22
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0342Potential for harm · PatternCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Jun 27, 2025Complaint
1
0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Federal Penalties

Fine

May 1, 2025

$59,846

Fine

Jun 28, 2024

$117,872

Payment Denial

Jun 28, 2024

20-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Beachwood Post-Acute & Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 248 of 260 (Worst)

Ownership & Management

Owners

California Opco LLC

Owner · Organization

100%

Bay Bridge Capital Partners, LLC

Owner (parent company) · Organization

Opco Holdings LLC

Owner (parent company) · Organization

Key personnel

Cheema, ChandandeepContracted Managing EmployeeNovitsky, AntonW-2 Managing EmployeeApt, FrederickOfficer / DirectorJergensen, JoshuaOfficer / DirectorMitchell, JohnOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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