01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-23 | 12 | 2026-01-23 | 7 |
| Cycle 2 | 2024-12-01 | 27 | 2024-12-01 | 1 |
| Cycle 3 | 2023-11-09 | 16 | 2023-11-09 | 12 |
CMS CCN 5550392026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Fireside Health Care Center
947 3Rd Street · Santa Monica, CA 90403 · Los Angeles County
Certified beds66CMS provider file
Recent citation rows75current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
75 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 13 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-23 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2026-02-122026-01-23 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2026-02-122026-01-23 · HEALTHF0638Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2026-02-122026-01-23 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-02-242026-01-23 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-02-122026-01-23 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-02-122026-01-23 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-02-122026-01-23 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-02-122026-01-23 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-242026-01-23 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-02-242026-01-23 · HEALTHF0912Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Correction field: No revisit needed2026-01-23 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-01-292026-01-23 · FIREK0345Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-01-292026-01-23 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-01-292026-01-23 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-02-022026-01-23 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-23 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-01-292026-01-23 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-02-042025-12-10 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-12-24 · complaint2025-03-19 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2025-04-06 · complaint2025-03-19 · HEALTHF0837Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Correction field: Deficient, Provider has date of correction · 2025-04-06 · complaint2025-03-01 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-03-26 · complaint2025-02-24 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-03-14 · complaint2025-01-23 · HEALTHF0697Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-02-06 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-08-07 | Fine | $97,670 | 0 |
| 2024-08-07 | Payment Denial | $0 | 6 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- NAHS SOUTHWEST INCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/30/2018
- NAHS HOLDING INCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/30/2018
- ALIPIO, HEIDIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/05/2025
- ELLIS-SHERINIAN, JAMESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2020
- ALIPIO, HEIDIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/05/2025
- BAJA, RALPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- BARLOW, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/29/2018
- ELLIS-SHERINIAN, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2020
- MOORE, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2022
- PAULSEN, TIMOTHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/29/2018
- WALTON, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/29/2018
- ALIPIO, HEIDIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/05/2025
- JOHNSON, MARCIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/20/2022
- LUNDQUIST, VICTORIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/21/2018
- MOORE, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2022
- WALTON, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/29/2018
- ALIPIO, HEIDIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/05/2025
- RASKIN, DAMONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2012
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.26per resident day
RN hours0.34per resident day
Weekend nurse hours3.81per resident day
Staff turnover34.3%CMS reported field
06 / LOCAL RECORDS
Open the Santa Monica ledger →Other published facilities nearby
Beachwood Post-Acute & Rehab227 beds · CMS overall 1/5137 citation rowsBerkley East Healthcare Center207 beds · CMS overall 2/5138 citation rowsBerkley West Healthcare Center54 beds · CMS overall 3/584 citation rowsBrentwood Health Care Center59 beds · CMS overall 3/559 citation rowsGood Shepherd Health Care Center Of Santa Monica48 beds · CMS overall 2/559 citation rowsOcean Park Healthcare41 beds · CMS overall 2/582 citation rowsOcean Pointe Healthcare Center72 beds · CMS overall 2/584 citation rowsPacific Post Acute49 beds · CMS overall 5/555 citation rows