Brentwood Health Care Center

Name: Brentwood Health Care Center
Address: 1321 FRANKLIN STREET, Santa Monica, CA, 90404, US
Telephone: 3108285596

1321 Franklin Street, Santa Monica, CA 90404 · Los Angeles County · 59 certified beds · avg 57 residents/day · certified since May 1, 1980

Part of chain: NAHS (12 facilities, chain avg rating 4.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.29

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (46)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 21, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 23, 2026	F · Potential for harm, facility-wide	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Jan 23, 2026	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Dec 4, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Dec 4, 2025	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Dec 4, 2025	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Mar 20, 2025	D · Potential for harm, one-off	The facility did not help residents with transportation to and from laboratory services outside the facility. · from a complaint
Oct 18, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 18, 2024	D · Potential for harm, one-off	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 17, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 27, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Nov 13, 2023	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 13, 2023	E · Potential for harm, repeated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Nov 13, 2023	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 13, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Oct 25, 2023	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint
Sep 3, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 3, 2023	E · Potential for harm, repeated	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Sep 3, 2023	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Aug 21, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 5).

Year	Citations	Worst severity that year
2023	23	E
2024	14	F
2025	6	F
2026	3	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.29	4.31	3.95	top 39% in California; top 29% in the U.S.
Registered Nurse hours	0.40	0.61	0.69	bottom 32% in California; bottom 22% in the U.S.
Weekend total nurse staffing	3.58	3.90	3.50	bottom 37% in California; top 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.51	0.48	top 44% in California; top 48% in the U.S.
Total nursing staff turnover (%)	46.5	36.7	45.8	bottom 21% in California; bottom 46% in the U.S.
RN turnover (%)	57.1	38.1	42.9	bottom 18% in California; bottom 26% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.40, RN 0.50, weekend 4.52. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Nahs Holding INC	Organization	5% or Greater Indirect Ownership Interest	100%	06/30/2018
Baja, Ralph	Individual	Corporate Director	NOT APPLICABLE	07/01/2023
Barlow, James	Individual	Corporate Director	NOT APPLICABLE	06/29/2018
Edward Begley	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2025
Ellis-Sherinian, James	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2020
Ellis-Sherinian, James	Individual	Corporate Director	NOT APPLICABLE	10/01/2020
Johnson, Marc	Individual	Corporate Officer	NOT APPLICABLE	11/20/2022
Johnson, Marc	Individual	ADP of the SNF	NOT APPLICABLE	11/20/2022
Lundquist, Victor	Individual	Corporate Officer	NOT APPLICABLE	03/21/2018
Moore, Michael	Individual	Corporate Director	NOT APPLICABLE	02/01/2022
Moore, Michael	Individual	Corporate Officer	NOT APPLICABLE	02/01/2022
Paulsen, Timothy	Individual	Corporate Director	NOT APPLICABLE	06/29/2018
Tran, Hong-Phuc	Individual	Operational/Managerial Control	NOT APPLICABLE	03/30/2023
Tran, Hong-Phuc	Individual	ADP of the SNF	NOT APPLICABLE	01/29/2026
Walton, Mark	Individual	Corporate Director	NOT APPLICABLE	06/29/2018
Walton, Mark	Individual	Corporate Officer	NOT APPLICABLE	06/29/2018
Weaver, David	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/31/2023
Weaver, David	Individual	Corporate Director	NOT APPLICABLE	03/31/2023
Weaver, David	Individual	Corporate Officer	NOT APPLICABLE	03/31/2023
Weaver, David	Individual	Operational/Managerial Control	NOT APPLICABLE	03/31/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Westwood Post Acute Care	0.6 mi	Los Angeles, CA	★★☆☆☆	2/5	abuse
Berkley East Healthcare Center	0.8 mi	Santa Monica, CA	★★☆☆☆	1/5
Santa Monica Health Care Center	0.8 mi	Santa Monica, CA	★★★☆☆	3/5
Santa Monica Rehabilitation Center	0.9 mi	Santa Monica, CA	★☆☆☆☆	1/5	abuseSFF
Berkley West Healthcare Center	1.0 mi	Santa Monica, CA	★★★☆☆	2/5
Pacific Post Acute	1.0 mi	Santa Monica, CA	★★★★★	4/5
Ocean Pointe Healthcare Center	1.0 mi	Santa Monica, CA	★★☆☆☆	2/5
Ocean Park Healthcare	1.1 mi	Santa Monica, CA	★★☆☆☆	2/5
Sunset Park Healthcare	1.2 mi	Santa Monica, CA	★★☆☆☆	2/5
New Vista Post-Acute Care Center	1.3 mi	Los Angeles, CA	★★☆☆☆	1/5	abuse
Beachwood Post-Acute & Rehab	1.5 mi	Santa Monica, CA	★☆☆☆☆	1/5
Good Shepherd Health Care Center of Santa Monica	1.6 mi	Santa Monica, CA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 055711.

The Care File

Visit checklist — Brentwood Health Care Center

1321 Franklin Street, Santa Monica, CA 90404 · 3108285596

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055711 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)