Sunset Park Healthcare
2250 29th Street · Santa Monica, CA · 90405 · 3104507694
44 certified beds For profit - Limited Liability company Chain: Abraham Bak & Menachem Gastwirth
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 4.10 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (58 in the current record)
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Potential for harm · D March 24, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · D October 3, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 9, 2025 · Resident Rights
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Potential for harm · D June 17, 2025 · found via complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected July 7, 2025 · Resident Rights
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Potential for harm · D June 17, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 25, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 25, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 25, 2025
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.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 25, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 25, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 25, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 25, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · E May 25, 2025
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.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D May 25, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D May 25, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 13, 2025 · Pharmacy Service
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Potential for harm · D May 25, 2025
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.
Corrected June 13, 2025 · Pharmacy Service
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Potential for harm · E May 25, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · E May 25, 2025
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.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · D May 25, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · D May 25, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · D May 25, 2025
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.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · E May 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · E May 25, 2025
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
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Potential for harm · E May 25, 2025
Keep all essential equipment working safely.
Corrected June 13, 2025 · Environmental
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Potential for harm · E May 25, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected June 13, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055748 · certified since May 25, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.