Nursing HomeMedicaid Investigative

Santa Monica Rehabilitation Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

1338 20th Street, Mid-City · Santa Monica, CA 90404|144 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.9/5

based on 32 Google reviews

(310) 255-2800 Directions Website

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9/ 10

critical Risk

Quality Concerns Identified

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

Special Focus Facility (under heightened CMS scrutiny)
Abuse citation on record
Low overall rating (1/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (52 vs median 13.0)

Bottom 25% in CA · Critically understaffed (RN) · Worst in MARINER HEALTH CARE chain · $144,692 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients needing intensive physical therapy or post-surgical rehabilitation due to their highly skilled clinical staff. However, families should be prepared to be proactive in communicating with the administration, as several reviewers noted difficulties reaching social workers and admissions staff.

Google Reviews

32 reviews on Google

“Families often praise the facility for its compassionate nursing staff and effective physical therapy programs, particularly for post-surgical recovery. However, there are significant concerns regarding inconsistent communication from administrative staff and potential issues with staffing levels affecting the quality of care.”

Quality Themes

Tap a score for details

Strengths

Compassionate and skilled nursing staff
Effective physical and occupational therapy
Welcoming and helpful admissions process
Clean and well-maintained environment

Concerns

Inconsistent communication from social workers and administration (mentioned by 3 reviewers)
Staffing shortages impacting quality of care (mentioned by 2 reviewers)
Difficulty reaching staff via telephone (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 34 analyzed

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

1I've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of care remains consistent across all shifts?
2With the recent updates to your facility, what specific steps are being taken to address the staffing levels and ensure there is always enough support for the residents?
3What is the best way for our family to stay in regular contact with the social workers and administration to ensure we are all on the same page regarding care?
4If a medical emergency were to happen during the night, what is the specific protocol for notifying the family and providing immediate care?
5We've read that the environment here is very clean and well-maintained; could you tell us more about the daily cleaning and upkeep schedule?
6What kind of daily activities or social programs do you have planned to help residents stay engaged and connected with one another?

Personalized based on this facility's data

Key Review Excerpts

“My mother in law had hip surgery and was treated with the most respectful kindness we all want our parents to be given. I want to thank each and every person here, my heart is full, they treated her with so much love, she was happy the entire time.”

Long-term resident's family · 2025★★★★★

“The staff here is really great and went above and beyond in giving her care. She mostly speaks Hindi and they helped figuring out how to play movies on the tv in her language, they all do a great job treating her with care.”

Long-term resident's family · 2025★★★★★

“I've called literally 2I times in the last hour trying to make sure my mom got her meds. I have the proof in my cell phone. A couple times I was put on hold and no one came back to me.”

Long-term resident's family · 2022★☆☆☆☆

Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.36hrs

48%

Registered nurses for medical care

Total Nursing

3.92hrs

96%

All nurses + aides combined

Staff Turnover

54%

Lower is better (< 30% = good)

RN Turnover

75%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

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

Medicare Rating

4/ 5

Better Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility1.8%

Better than Avg

Here

1.8%

19.4%

10.7%

Los angeles

9.7%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility3.0%

Better than Avg

Here

3.0%

15.3%

10.5%

Los angeles

9.5%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility7.9%

Better than Avg

Here

7.9%

19.5%

13.7%

Los angeles

10.8%

😔

Residents with depression symptoms

↓ Lower is better

This Facility3.0%

Better than Avg

Here

3.0%

12.1%

7.0%

Los angeles

8.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

98.6%

Los angeles

99.1%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility8.2%

Better than Avg

Here

8.2%

14.4%

10.4%

Los angeles

12.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility99.8%

Better than Avg

Here

99.8%

81.8%

94.2%

Los angeles

94.5%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility97.1%

Better than Avg

Here

97.1%

79.7%

93.2%

Los angeles

92.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.2%

Better than Avg

Here

1.2%

1.6%

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

42deficiencies

10penalties

Well above state avg (15.4)

151 complaint-triggered

$144,692 in fines

This facility shows a concerning pattern of repeated violations primarily triggered by families filing complaints about resident safety, staffing adequacy, and medication management. The most frequent issues involve protecting residents from accidents and hazards, ensuring adequate nursing staff competency, and proper medication handling. While all cited deficiencies have correction dates, the recurring nature across multiple surveys suggests ongoing struggles with consistent quality care, warranting careful consideration before placement.

Mar 24, 2026Complaint4 findings

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

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.

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 11, 2026Complaint2 findings

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0811Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

Feb 25, 2026Complaint1 finding

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Feb 17, 2026Complaint1 finding

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Jan 15, 2026Complaint1 finding

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Jan 6, 2026Complaint1 finding

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Aug 21, 2025

$57,400

Payment Denial

Feb 6, 2025

33-day denial

Fine

Feb 6, 2025

$78,787

Payment Denial

Jan 8, 2024

60-day denial

Fine

Jan 8, 2024

$27,067

Fine

Jul 17, 2023

$13,635

Fine

Jun 26, 2023

$4,545

Fine

Jun 20, 2023

$4,545

Fine

Jun 12, 2023

$4,196

Fine

Jun 5, 2023

$3,846

Ownership & Operations

Who Operates This Facility

Owner / Operator

Santa Monica Rehabilitation Center

Organization Type

for profit

Ownership & Management

Owners

Gc Holding Company 2 LLC

Owner · Organization

99%

Grancare LLC