Santa Monica Health Care Center
Inspection Findings
F-Tag F0740
F 0740 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
indicated, Resident 2 has to have a 1:1 sitter (a caregiver provides dedicated, focused attention and assistance to a single individual, ensuring their needs and well-being are met with personalized support) for safety every shift - 7AM to 3PM, 3PM to 11PM, and 11PM to 7AM. During a review of Resident 2's physician progress notes (a doctor's written record that documents a patient's health status, treatment, and care plan) dated 12/13/2025 indicated, Resident 2 need to have a sitter but allowed to go out of facility.
During an interview on 12/24/2025 at 10:57 AM with Certified Nurse's Aide (CNA) 1, CNA 1 stated Resident 2 gets aggressive, agitated, frustrated when [Resident 2] doesn't get [Resident 2's] way. [Resident 2] is not calm. CNA 1 stated the potential harm that may come to Resident 2 while out on pass (OOP - a patient has temporary, authorized leave from the facility for a short period [hours to a day or two] to go home or elsewhere, often for family visits or personal needs, with arrangements for their return, requiring physician and nursing approval and documentation) may cause physical contact with others like argue with another civilian.might argue too much and start fighting but only when [Resident 2] doesn't get [Resident 2's] way. During an interview on 12/24/2025 at 11:12 AM with a licensed vocational nurse (LVN) 1, LVN 1 stated [Resident 2] doesn't get along with roommates.[Resident 2] causes problems so roommates will be moved to another room. LVN 1 stated Resident 2 needed to be on a 1:1 with a sitter because [Resident 2] might hurt a staff or other residents here.unpredictable behavior. LVN 1 stated the potential harm that may come to Resident 2 while out on pass without a staff member was physical harm - fall, break arm or leg, and Resident 2 may come in contact with someone where [Resident 2] does not agree with and get into an argument. During an interview on 12/24/2025 at 12:05 PM with a registered nurse supervisor (RNS), RNS stated Resident 2 does not interact with other residents, just stays in the room; yells at staff; does not want anybody near [Resident 2]. RNS also stated Resident 2 does not listen to reasons. When asked why Resident 2 needed a 1:1 with a sitter, RNS stated to protect the other patients and that Resident 2 is always angry at something. RNS stated [Resident 2] needs a sitter to prevent [Resident 2] from getting angry at people like residents and staff, and to prevent the same incident - physical altercations - from happening again. RNS stated the potential harm that may happen to Resident 2 when Resident 2 is out on pass is that [Resident 2] may provoke somebody and will start a fight, trip and fall, and get into altercation with another person while out of the facility. During an interview on 12/24/2025 at 2:10 PM with the Director of Nursing (DON), the DON stated Resident 2's physician ordered a 1:1 with a sitter for safety started on 12/10/2025, all shifts due to [Resident 2's] aggressive behavior. DON also stated that Resident 2 does not require to have a 1:1 with a sitter when OOP we only do for here; [Resident 2] is alert.can go to the bus.our responsibility is for [Resident 2] inside the facility and not be aggressive to other residents; when [Resident 2] is outside, [Resident 2] goes alone.[Resident 2] is responsible for herself when [Resident 2] is out there.
During a review of the facility's policy and procedure (P&P - policy explains the rules and presents them in
a logical framework while procedures outline the step-by-step implementation of various tasks) titled Safety Supervision of Residents undated, indicated the facility's individualized, resident-centered approached to safety addresses safety and accident hazards for individual residents. The P&P also indicated that resident supervision is a core component of the systems approach to safety and the type and frequency of resident supervision is based on the assessed needs and identified hazards in the environment.
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If continuation sheet
SANTA MONICA HEALTH CARE CENTER in SANTA MONICA, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SANTA MONICA, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SANTA MONICA HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.