PIH HEALTH GOOD SAMARITAN HOSPITAL D/P SNF
1225 WILSHIRE BLVD
LOS ANGELES, CA, 90017
2132027050
CCN: 555927
5
Overall5
Health5
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| PIH HEALTH GOOD SAMARITAN HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BATISTE, MELANIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| GOLDBERG, MARISSA | CORPORATE DIRECTOR | NOT APPLICABLE |
| GREANEY, PETER | CORPORATE DIRECTOR | NOT APPLICABLE |
| HAMAR, HAMILTON | CORPORATE DIRECTOR | NOT APPLICABLE |
| KHORSANDI, MOEZ | CORPORATE DIRECTOR | NOT APPLICABLE |
| KROG, SCOTT | CORPORATE DIRECTOR | NOT APPLICABLE |
| MEDRANO, DEBORAH | CORPORATE DIRECTOR | NOT APPLICABLE |
| MONROE, PATRICK | CORPORATE DIRECTOR | NOT APPLICABLE |
| ROTH, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| SARALIEV, TRACEA | CORPORATE DIRECTOR | NOT APPLICABLE |
| SOUTHRON, SCOTT | CORPORATE DIRECTOR | NOT APPLICABLE |
| SYDA-LAWTON, REGINE | CORPORATE DIRECTOR | NOT APPLICABLE |
| TREINEN, PAUL | CORPORATE DIRECTOR | NOT APPLICABLE |
| WEAVER, CHARLOTTE | CORPORATE DIRECTOR | NOT APPLICABLE |
| WOODS, KENTON | CORPORATE DIRECTOR | NOT APPLICABLE |
| ALVAREZ, ALEX | CORPORATE DIRECTOR | NOT APPLICABLE |
| ATWOOD, J | CORPORATE DIRECTOR | NOT APPLICABLE |
| BARENDSE, THURSO | CORPORATE DIRECTOR | NOT APPLICABLE |
| MAHALINGAMSHIVARAMAN, VIDHYASHANKARAN | CORPORATE OFFICER | NOT APPLICABLE |
| WEST, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| COPPINGER, NOEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LEONARD, ANNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MAHALINGAMSHIVARAMAN, VIDHYASHANKARAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NECKE, SHELLY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PONCE, SUSANNE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PIH HEALTH GOOD SAMARITAN HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RAHNEMA, GUDARS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VAZQUEZ, CINDY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WEST, JAMES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KPMG LLP | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PRATT, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PIH HEALTH WHITTIER HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
6.27
RN Hrs/Resident/Day0.54
2.98
LPN Hrs/Resident/Day0.81
1.34
CNA Hrs/Resident/Day2.33
1.95
PT Hrs/Resident/Day0.12
0.34
Data as of 2026-03-01