Solheim Senior Community

Name: Solheim Senior Community
Address: 2236 MERTON AVE., Los Angeles, CA, 90041, US
Telephone: 3232577518

2236 Merton Ave., Los Angeles, CA 90041 · Los Angeles County · 76 certified beds · avg 64 residents/day · certified since May 15, 1990

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.48

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Nov 14, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Dec 10, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (37)

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
Dec 18, 2025	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.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Dec 18, 2025	E · Potential for harm, repeated	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.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 18, 2025	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.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Dec 18, 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.
Dec 18, 2025	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.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 18, 2025	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.
Dec 18, 2025	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.
Nov 14, 2025	▲ G · Actual 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 14, 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
Oct 11, 2024	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.
Oct 11, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 11, 2024	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.
Oct 11, 2024	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.
Oct 11, 2024	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.
Oct 11, 2024	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.
Oct 11, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Oct 11, 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.
Oct 11, 2024	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.
Oct 5, 2023	E · Potential for harm, repeated	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.
Oct 5, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 5, 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.
Oct 5, 2023	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.
Oct 5, 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.
Oct 5, 2023	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.
Oct 5, 2023	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.
Oct 5, 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.
Oct 5, 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.
Oct 5, 2023	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.
Oct 5, 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.
Oct 5, 2023	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.
Oct 5, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (9 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2023	13	0	E
2024	9	0	E
2025	15	1	G ▲

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)	4.48	4.31	3.95	top 29% in California; top 23% in the U.S.
Registered Nurse hours	0.44	0.61	0.69	bottom 43% in California; bottom 29% in the U.S.
Weekend total nurse staffing	4.08	3.90	3.50	top 29% in California; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.51	0.48	bottom 34% in California; bottom 31% in the U.S.
Total nursing staff turnover (%)	41.0	36.7	45.8	bottom 35% in California; top 39% in the U.S.
RN turnover (%)	25.0	38.1	42.9	top 26% in California; top 20% 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 4.41, RN 0.43, weekend 4.01. Staffing rating: 4/5.

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: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

Non profit - Other

Owner / manager	Type	Role	Stake	Since
Auer, Susan	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/11/2023
Auer, Susan	Individual	Operational/Managerial Control	NOT APPLICABLE	06/11/2023
Bos, Brenda	Individual	Corporate Director	NOT APPLICABLE	06/01/2022
Bos, Brenda	Individual	Operational/Managerial Control	NOT APPLICABLE	06/05/2022
Bos, Brenda	Individual	ADP of the SNF	NOT APPLICABLE	06/05/2022
Cox, Thomas	Individual	Operational/Managerial Control	NOT APPLICABLE	06/09/2024
Cox, Thomas	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2024
Egge, Paul	Individual	Corporate Director	NOT APPLICABLE	06/01/2022
Egge, Paul	Individual	Operational/Managerial Control	NOT APPLICABLE	06/10/2018
Egge, Paul	Individual	ADP of the SNF	NOT APPLICABLE	06/10/2018
Garcia, Frederick	Individual	Operational/Managerial Control	NOT APPLICABLE	06/09/2024
Garcia, Frederick	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2024
Gerringer, Robert	Individual	Corporate Director	NOT APPLICABLE	07/01/2021
Gerringer, Robert	Individual	ADP of the SNF	NOT APPLICABLE	06/13/2021
Johnson, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	06/09/2024
Johnson, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2024
Kallman, Kenneth	Individual	Corporate Director	NOT APPLICABLE	06/01/2021
Kallman, Kenneth	Individual	ADP of the SNF	NOT APPLICABLE	06/13/2021
Keedy, CL	Individual	Corporate Director	NOT APPLICABLE	11/01/2020
Keedy, CL	Individual	ADP of the SNF	NOT APPLICABLE	06/09/2024

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can I see where garbage is stored and how often it's removed?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Ararat Convalescent Hospital	0.1 mi	Los Angeles, CA	★★★★☆	3/5
College Vista Post-Acute	0.6 mi	Los Angeles, CA	★★☆☆☆	2/5
Glendale Adventist Medical Center DP/SNF	1.0 mi	Glendale, CA	★★★★★	5/5
Ararat Post Acute	1.1 mi	Glendale, CA	★★★★★	4/5
Glendale Post Acute Center	1.4 mi	Glendale, CA	★☆☆☆☆	1/5
Autumn Hills Health Care Center	1.5 mi	Glendale, CA	★★★☆☆	2/5
Leisure Glen Post Acute Care Center	1.9 mi	Glendale, CA	★★★★☆	4/5
York Healthcare & Wellness Centre	2.2 mi	Los Angeles, CA	★★☆☆☆	2/5
Chestnut Ridge Post Acute LLC	2.3 mi	Glendale, CA	★☆☆☆☆	1/5	abuse
Glenhaven Healthcare	2.3 mi	Glendale, CA	★★★☆☆	3/5
Glendale Healthcare Center	2.3 mi	Glendale, CA	★★★★☆	4/5
Highland Park Skilled Nursing and Wellness Center	2.4 mi	Los Angeles, CA	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Los Angeles →

Facility data as of CMS processing date 2026-08-01. CCN 555432.

The Care File

Visit checklist — Solheim Senior Community

2236 Merton Ave., Los Angeles, CA 90041 · 3232577518

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Nov 14, 2025 (F-0689, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 555432 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)