Pacific Post Acute

Name: Pacific Post Acute
Address: 1323 17TH STREET, Santa Monica, CA, 90404, US
Telephone: 3104535456

1323 17th Street, Santa Monica, CA 90404 · Los Angeles County · 49 certified beds · avg 40 residents/day · certified since Mar 10, 1977

Part of chain: DAVID JOHNSON (48 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.01

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 (43)

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
Jun 25, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Apr 3, 2026	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.
Apr 3, 2026	E · Potential for harm, repeated	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.
Apr 3, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Apr 3, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 3, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Apr 3, 2026	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Apr 3, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Apr 3, 2026	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.
Apr 3, 2026	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Sep 5, 2025	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint
Jan 23, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 23, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 23, 2025	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. · from a complaint
Jan 23, 2025	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jan 23, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jan 23, 2025	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
Jan 23, 2025	D · Potential for harm, one-off	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.
Jan 23, 2025	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Jan 18, 2025	D · Potential for harm, one-off	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint
Jan 9, 2025	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. · from a complaint
Sep 14, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint
Jun 3, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint
Jun 3, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Jun 3, 2024	D · Potential for harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint
Apr 3, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Feb 26, 2024	E · Potential for harm, repeated	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. · from a complaint
Feb 26, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint
Jan 5, 2024	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.
Jan 5, 2024	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jan 5, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jan 5, 2024	E · Potential for harm, repeated	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.
Jan 5, 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.
Jan 5, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jan 5, 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.
Jan 5, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jan 5, 2024	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.
Jan 5, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 5, 2024	D · Potential for harm, one-off	The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years.
Jan 5, 2024	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.
Jan 5, 2024	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Aug 10, 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. · from a complaint
Aug 10, 2023	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 9).

Year	Citations	Worst severity that year
2023	2	D
2024	20	E
2025	11	E
2026	10	E

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)	4.01	4.31	3.95	bottom 42% in California; top 39% in the U.S.
Registered Nurse hours	0.28	0.61	0.69	bottom 9% in California; bottom 8% in the U.S.
Weekend total nurse staffing	3.55	3.90	3.50	bottom 34% in California; top 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.51	0.48	bottom 13% in California; bottom 14% in the U.S.
Total nursing staff turnover (%)	34.6	36.7	45.8	top 44% in California; top 23% in the U.S.
RN turnover (%)	40.0	38.1	42.9	bottom 47% in California; top 46% 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 4.63, RN 0.33, weekend 4.09. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
PC Care LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/01/2001
Dehghanmanesh, Adrian	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2021
Dehghanmanesh, Adrian	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2021
Farrales, Mary	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Johnson, Frank	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/25/2001
Johnson, Frank	Individual	Operational/Managerial Control	NOT APPLICABLE	07/25/2001
Kochek, Joshua	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2022
Kochek, Joshua	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2022
Lopez, Niceto	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2017
Oxford, Micheal	Individual	Operational/Managerial Control	NOT APPLICABLE	01/03/2022
Oxford, Micheal	Individual	ADP of the SNF	NOT APPLICABLE	01/03/2022
PC Care LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/2001
PC Care LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2001
Sun Mar Management Services	Organization	ADP of the SNF	NOT APPLICABLE	10/12/1989
Ypil, Virginia	Individual	Operational/Managerial Control	NOT APPLICABLE	08/03/2021
Zack, Samuel	Individual	Operational/Managerial Control	NOT APPLICABLE	05/06/2024
Zack, Samuel	Individual	ADP of the SNF	NOT APPLICABLE	05/06/2024

Questions to ask on your visit

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

"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"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
Berkley West Healthcare Center	0.0 mi	Santa Monica, CA	★★★☆☆	2/5
Ocean Pointe Healthcare Center	0.0 mi	Santa Monica, CA	★★☆☆☆	2/5
Santa Monica Rehabilitation Center	0.1 mi	Santa Monica, CA	★☆☆☆☆	1/5	abuseSFF
Santa Monica Health Care Center	0.2 mi	Santa Monica, CA	★★★☆☆	3/5
Berkley East Healthcare Center	0.2 mi	Santa Monica, CA	★★☆☆☆	1/5
Beachwood Post-Acute & Rehab	0.6 mi	Santa Monica, CA	★☆☆☆☆	1/5
Good Shepherd Health Care Center of Santa Monica	0.6 mi	Santa Monica, CA	★★☆☆☆	2/5
Brentwood Health Care Center	1.0 mi	Santa Monica, CA	★★★☆☆	3/5
Ocean Park Healthcare	1.2 mi	Santa Monica, CA	★★☆☆☆	2/5
Sunset Park Healthcare	1.2 mi	Santa Monica, CA	★★☆☆☆	2/5
Fireside Health Care Center	1.2 mi	Santa Monica, CA	★★★★☆	3/5
Westwood Post Acute Care	1.5 mi	Los Angeles, CA	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Santa Monica →

Facility data as of CMS processing date 2026-08-01. CCN 555054.

The Care File

Visit checklist — Pacific Post Acute

1323 17th Street, Santa Monica, CA 90404 · 3104535456

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "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 555054 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)