St. John of God Retirement

2468 South St Andrews Place, Los Angeles, CA 90018 · (323) 731-0641
Non profit - Corporation · 156 certified beds

St. John of God Retirement has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 20 citations (the California average is 15.6). It was fined 3 times in the last three years, $124,440 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on December 5, 2025 found 20 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 5, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.December 5, 2025 · F0728 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 5, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.December 5, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.December 5, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.December 5, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.December 5, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 5, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.December 5, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 5, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 5, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.December 5, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.December 5, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.December 5, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 5, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.December 5, 2025 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.December 5, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.December 5, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 5, 2025 · F0838 · Level of harm: Potential for minimal harm · Residents affected: Some
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDecember 5, 2025 · F0868 · Level of harm: Potential for minimal harm · Residents affected: Some

Complaint inspections, last three years

Inspections after complaints found 25 citations.

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 23, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 23, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 12, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 12, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are fully informed and understand their health status, care and treatments.February 24, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.January 15, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 15, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 15, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 13, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 21, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.August 19, 2024 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Some
• 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.July 22, 2024 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are fully informed and understand their health status, care and treatments.July 3, 2024 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 12, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 12, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.May 22, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 22, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 26, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 15, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 16, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 5, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 5, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 21, 2023 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 20, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 20, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few

Fines and payment denials

• Fine of $14,050May 22, 2024
• Fine of $95,479November 20, 2023
• Fine of $14,911October 2, 2023
• Medicare payment denial for 45 daysStarting June 21, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home