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Complaint Investigation

Santa Monica Rehabilitation Center

Inspection Date: September 4, 2025
Total Violations 1
Facility ID 555808
Location SANTA MONICA, CA
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Actual Harm

F 0600 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

patient lift used to safely transfer individuals with limited mobility from one place to another) was used to transfer her from the MPWC to her bed. She could not recall the exact time the MPWC was taken but remembered crying in bed all day because she no longer had access to it. She was told the MPWC was downstairs charging. Resident 3 stated that when the MWC was brought to her, she was told, The nurses will push you around the facility where you want to go. She expressed skepticism, saying, Yeah right, they don't have enough staff for that because I like to go a lot of places. Resident 3 became tearful during the

interview and shared that she enjoys going to the local college for facials and haircuts. She had planned to go on 9/2/2025 but was unable to because she did not have her MPWC. During an interview on 9/3/2025 at 1:09 p.m. Resident 1 stated, On 9/1/2025 there was a lady (unidentified) here from corporate barking orders. She came with a social worker guy and some other people (unidentified staff). She observed the group speaking with both Resident 2 and Resident 3 about their use of motorized power wheelchairs (MPWCs). Resident 1 stated, I know Resident 3 has had the MPWC for a very long time with no problems until these people showed up demanding to confiscate the chairs and store them in the garage. Resident 1 became tearful during the interview and added, Resident 3 was in bed for two days crying after they took

the MPWC and I felt so bad. They took away Resident 3's chair (MPWC) and by doing that they took away Resident 3's independence-and that was not okay. During an interview on 9/3/2025 at 3:49 p.m., Resident 4 stated she and Resident 1 went to check on Resident 3 after her MPWC was taken. Although she could not recall the exact date, she stated, Resident 3 just stayed in bed crying all day. We checked on her for two days. Resident 4 recalled that on 9/1/2025, she observed facility staff entering Resident 3's room with a Hoyer lift. She stated, They lifted Resident 3 out of the chair (MPWC) and put Resident 3 in the bed. Shortly afterward, she saw a maintenance staff member driving Resident 3's MPWC down the hallway toward the back elevator. Resident 4 stated there were approximately five individuals involved, none of whom introduced themselves. She said, We had no clue who they were. They just said, ‘We're taking your chair.

During an interview on 9/4/2025 at 2:56 p.m. with DON, the DON stated that she spoke with Family Member 1 (FM 1) on 9/2/2025, regarding Resident 3's MPWC and informed FM 1 that an evaluation would be conducted. The DON visited Resident 3 on the same day but could not recall whether the MPWC was present in the room. She noted that Resident 3 was in bed during the visit. The DON asked Resident 3 whether she had ever been trained on how to use the MPWC. According to the DON, Resident 3 either[TRUN

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📋 Inspection Summary

SANTA MONICA REHABILITATION CENTER in SANTA MONICA, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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