PIH HEALTH GOOD SAMARITAN HOSPITAL D/P SNF

1225 WILSHIRE BLVD
LOS ANGELES, CA, 90017
2132027050
CCN: 555927
5
Overall
5
Health
5
Staffing
2
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
PIH HEALTH GOOD SAMARITAN HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BATISTE, MELANIECORPORATE DIRECTORNOT APPLICABLE
GOLDBERG, MARISSACORPORATE DIRECTORNOT APPLICABLE
GREANEY, PETERCORPORATE DIRECTORNOT APPLICABLE
HAMAR, HAMILTONCORPORATE DIRECTORNOT APPLICABLE
KHORSANDI, MOEZCORPORATE DIRECTORNOT APPLICABLE
KROG, SCOTTCORPORATE DIRECTORNOT APPLICABLE
MEDRANO, DEBORAHCORPORATE DIRECTORNOT APPLICABLE
MONROE, PATRICKCORPORATE DIRECTORNOT APPLICABLE
ROTH, WILLIAMCORPORATE DIRECTORNOT APPLICABLE
SARALIEV, TRACEACORPORATE DIRECTORNOT APPLICABLE
SOUTHRON, SCOTTCORPORATE DIRECTORNOT APPLICABLE
SYDA-LAWTON, REGINECORPORATE DIRECTORNOT APPLICABLE
TREINEN, PAULCORPORATE DIRECTORNOT APPLICABLE
WEAVER, CHARLOTTECORPORATE DIRECTORNOT APPLICABLE
WOODS, KENTONCORPORATE DIRECTORNOT APPLICABLE
ALVAREZ, ALEXCORPORATE DIRECTORNOT APPLICABLE
ATWOOD, JCORPORATE DIRECTORNOT APPLICABLE
BARENDSE, THURSOCORPORATE DIRECTORNOT APPLICABLE
MAHALINGAMSHIVARAMAN, VIDHYASHANKARANCORPORATE OFFICERNOT APPLICABLE
WEST, JAMESCORPORATE OFFICERNOT APPLICABLE
COPPINGER, NOELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LEONARD, ANNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MAHALINGAMSHIVARAMAN, VIDHYASHANKARANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NECKE, SHELLYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PONCE, SUSANNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PIH HEALTH GOOD SAMARITAN HOSPITALOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RAHNEMA, GUDARSOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VAZQUEZ, CINDYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WEST, JAMESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KPMG LLPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PRATT, ANDREWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PIH HEALTH WHITTIER HOSPITALOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (22)
2025-12-04 · Health
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2025-07-01 · Health
D
F627 · Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
2024-10-04 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F693 · 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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F661 · Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
E
F656 · 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.
D
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
2023-10-06 · Health
D
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
F838 · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
E
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
F
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
6.27
3.68
RN Hrs/Resident/Day
2.98
0.54
LPN Hrs/Resident/Day
1.34
0.81
CNA Hrs/Resident/Day
1.95
2.33
PT Hrs/Resident/Day
0.34
0.12
Data as of 2026-03-01