Inspection Reports for
Westmont of Culver City

11141 Washington Blvd, Culver City, CA 90232, United States, CA, 90232

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 0.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

93% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025
2026

Occupancy

Latest occupancy rate 91% occupied

Based on a February 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

0% 30% 60% 90% 120% Jul 2024 Mar 2025 Jul 2025 Oct 2025 Nov 2025 Feb 2026

Inspection Report

Census: 145 Capacity: 160 Deficiencies: 0 Date: Feb 25, 2026

Visit Reason
The inspection visit was a Case Management regarding an incident dated 2026-02-10 involving a resident who missed several medications due to the facility running out of medications.

Findings
The Licensing Program Analyst found that the resident missed eight different medications over 4 to 8 days. The resident was managing their own medications per a physician report, but the facility had no way of knowing if medications were missed. The resident was sent to the hospital for reassessment and is now on a medication management plan with facility staff administering all medications. The incident report was incomplete and the Executive Director was advised on reporting requirements. No deficiencies were cited.

Report Facts
Medications missed: 8

Employees mentioned
NameTitleContext
Dawn M SmithExecutive DirectorMet with during inspection and advised on reporting requirements
Rosetta HinesResident Service DirectorSpoke with Licensing Program Analyst regarding resident medication management
Sparkle DayLicensing Program AnalystConducted the Case Management inspection
Janae HammondLicensing Program ManagerNamed in report header

Inspection Report

Census: 145 Capacity: 160 Deficiencies: 0 Date: Feb 25, 2026

Visit Reason
The visit was a Case Management regarding an incident dated 2026-02-10 involving a resident who missed several medications due to the facility running out of medications.

Findings
The Licensing Program Analyst found that the incident report was incomplete with all necessary information required. No deficiency was cited during this visit. The resident is now on a medication management plan with all medications handled and administered by a Medication Tech at the facility.

Report Facts
Missed medications: 8

Employees mentioned
NameTitleContext
Dawn M SmithExecutive DirectorMet with during the inspection and involved in statements regarding medication management.
Rosetta HinesResident Service DirectorSpoke with Licensing Program Analyst regarding resident medication management.
Sparkle DayLicensing Program AnalystConducted the Case Management visit and inspection.
Janae HammondLicensing Program ManagerNamed in the report as Licensing Program Manager.

Inspection Report

Complaint Investigation
Census: 146 Capacity: 160 Deficiencies: 0 Date: Nov 10, 2025

Visit Reason
An unannounced Case Management - Incident visit was conducted following an Unusual Incident/Injury Report alleging staff physically shoved a resident into a wheelchair and threw soiled gloves and wipes at the resident.

Complaint Details
The complaint involved an incident on 11/04/2025 where Staff S1 was observed shoving Resident R1 into a wheelchair and throwing soiled gloves and wipes at the resident. Five of six staff interviewed denied observing physical aggression by S1. Resident R1 stated they feel safe. Staff S1 was sent home and removed from the schedule. Culver City Police Department was called and provided case # 25-5668. No deficiencies were cited.
Findings
The Licensing Program Analyst did not observe any deficiencies during the visit. Staff involved were interviewed, the resident reported feeling safe, and the staff member accused was removed from the schedule. The police were notified and an investigation was initiated.

Report Facts
Facility capacity: 160 Census: 146 Incident case number: 255668 In-Service training date: Nov 8, 2025

Employees mentioned
NameTitleContext
Wendy GibbsLicensing Program AnalystConducted the inspection visit
Marielena CardenasBusiness Office DirectorMet with Licensing Program Analyst during inspection and exit interview
Dawn M SmithAdministrator/DirectorFacility Administrator named in report header

Inspection Report

Complaint Investigation
Census: 146 Capacity: 160 Deficiencies: 0 Date: Nov 10, 2025

Visit Reason
The visit was an unannounced Case Management - Incident inspection triggered by an Unusual Incident/Injury Report regarding staff observed shoving a resident into a wheelchair and throwing soiled gloves and wipes at the resident.

Complaint Details
The complaint involved an incident on 11/04/2025 where Staff (S1) was observed by Staff (S2) shoving Resident (R1) into a wheelchair and throwing soiled gloves and wipes at the resident. The complaint was investigated through interviews and record reviews. The resident stated feeling safe, and no deficiencies were found.
Findings
During the investigation, interviews with staff and the resident were conducted, and records were reviewed. No deficiencies were observed during the visit, and no citations were issued. The staff member involved was sent home and removed from the schedule, and the police were notified for investigation.

Report Facts
Case number: 255668 In-Service training date: Nov 8, 2025

Employees mentioned
NameTitleContext
Wendy GibbsLicensing Program AnalystConducted the unannounced Case Management - Incident visit
Marielena CardenasBusiness Office DirectorMet with Licensing Program Analyst during the visit and participated in exit interview
Dawn M SmithAdministrator/DirectorNamed as facility administrator/director

Inspection Report

Census: 144 Capacity: 160 Deficiencies: 1 Date: Oct 27, 2025

Visit Reason
An unannounced Case Management/Incident visit was conducted following receipt of an Unusual Incident Report describing an incident that occurred on 2025-09-30. The visit aimed to assess compliance with reporting requirements under Title 22 regulations.

Findings
The facility failed to report an incident within the seven-day timeframe required by Title 22 regulations, resulting in a cited deficiency. This poses a potential health and safety risk to residents in care.

Deficiencies (1)
Facility failed to report an incident within the time stipulated by Title 22.
Report Facts
Fine amount per citation: 100 Plan of Correction due date: Nov 3, 2025

Employees mentioned
NameTitleContext
Alfonso IniguezLicensing Program AnalystConducted the inspection and cited the deficiency
Marielena CardenasBusiness Office DirectorMet with Licensing Program Analyst during the visit
Eva M AlvarezLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 144 Capacity: 160 Deficiencies: 0 Date: Oct 27, 2025

Visit Reason
The inspection was an unannounced Case Management/Incident visit conducted due to a Report of Suspected Dependent Adult/Elder Abuse alleging that a staff member struck a resident's hand.

Complaint Details
The complaint alleged that a former staff member observed another staff member strike a resident's hand. The allegation was investigated internally by the facility and during the licensing visit, and was found to be unsubstantiated.
Findings
The facility conducted an internal investigation which revealed the alleged staff member did not strike the resident. Interviews with the involved staff and resident confirmed no physical abuse occurred. No deficiencies were observed during the visit and no citations were issued.

Report Facts
Census: 144 Total Capacity: 160

Employees mentioned
NameTitleContext
Marielena CardenasBusiness Office DirectorMet with Licensing Program Analyst during the inspection
Alfonso IniguezLicensing Program AnalystConducted the inspection and investigation

Inspection Report

Complaint Investigation
Census: 144 Capacity: 160 Deficiencies: 0 Date: Oct 27, 2025

Visit Reason
The inspection was an unannounced Case Management/Incident visit conducted in response to a Report of Suspected Dependent Adult/Elder Abuse alleging that a staff member struck a resident's hand.

Complaint Details
The complaint alleged that a former staff member observed another staff member strike a resident's hand. The allegation was investigated and found unsubstantiated based on interviews and internal investigation.
Findings
The facility conducted an internal investigation which revealed that the alleged staff member did not strike the resident. Interviews with the involved staff and resident confirmed no physical abuse occurred. No deficiencies were observed and no citations were issued.

Report Facts
Capacity: 160 Census: 144

Employees mentioned
NameTitleContext
Dawn M SmithAdministrator/DirectorFacility administrator named in the report header
Marielena CardenasBusiness Office DirectorMet with Licensing Program Analyst during the inspection and received the Facility Evaluation Report
Alfonso IniguezLicensing Program AnalystConducted the unannounced Case Management/Incident visit and investigation
Eva M AlvarezLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Annual Inspection
Census: 60 Capacity: 160 Deficiencies: 0 Date: Jul 24, 2025

Visit Reason
The visit was an unannounced one-year inspection to evaluate compliance with licensing requirements for the facility.

Findings
The inspection found all resident, medication, and staff records to be in order and complete. The facility was toured and found to be clean, safe, and well-maintained with no observed deficiencies during the visit.

Report Facts
Residents receiving hospice services: 1 Residents receiving home health services: 11 Resident bedrooms: 137

Employees mentioned
NameTitleContext
Marielena CardenasBusiness Office DirectorMet with Licensing Program Analyst during inspection and participated in exit interview
Mario CarrilloMaintenance DirectorToured the facility with Licensing Program Analyst
Sparkle DayLicensing Program AnalystConducted the inspection visit
Janae HammondLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Census: 110 Capacity: 160 Deficiencies: 0 Date: Mar 13, 2025

Visit Reason
The visit was a case management - other visit conducted to gather information surrounding the fall of Resident #1 that occurred on 2025-02-09 in the Memory Care Unit's activity area.

Findings
The report details the circumstances of Resident #1's fall, including staff attempts to assist the resident and the resulting injury requiring surgery. The resident is currently in rehabilitation. The facility reported the incident and staff interviews and record reviews were conducted.

Report Facts
Morse Fall Scale score: 25

Employees mentioned
NameTitleContext
Dawn SmithExecutive DirectorMet with during visit and named in report regarding fall incident
Larianna LoganMemory Care DirectorMet with during visit and involved in explanation of fall incident

Inspection Report

Original Licensing
Capacity: 160 Deficiencies: 0 Date: Jul 19, 2024

Visit Reason
This was a pre-licensing evaluation conducted to assess the facility's readiness for licensing as an RCFE facility to serve elderly residents.

Findings
The facility was found to be clean, sanitary, and in good repair with all required safety and operational features in place. No corrections were needed during this pre-licensing inspection.

Report Facts
Licensed capacity: 160 Hospice waiver capacity: 20 Toilet and washbasin count: 137 Shower or bathtub count: 137 Food supply days: 7 Food storage days: 2

Employees mentioned
NameTitleContext
Tracey FlahertyExecutive DirectorAuthorized administrator present during the pre-licensing evaluation and exit interview
Alfonso IniguezLicensing Program AnalystConducted the pre-licensing evaluation and Component III Orientation
Deborah LeeLicensing Program AnalystParticipated in the pre-licensing evaluation
Yolanda RosserLicensing Program AnalystParticipated in the pre-licensing evaluation
Eva M AlvarezLicensing Program ManagerNamed as Licensing Program Manager overseeing the evaluation

Inspection Report

Original Licensing
Capacity: 160 Deficiencies: 0 Date: Jul 3, 2024

Visit Reason
The visit was conducted as an initial licensing evaluation for the facility to verify the applicant and administrator's understanding of community care facility licensing laws and readiness for pre-licensing inspection.

Findings
The applicant and administrator participated in a telephone interview confirming their knowledge of licensing laws, staffing requirements, and facility operation. Identification was verified and documentation was obtained. No clients were in care at the time of the visit.

Employees mentioned
NameTitleContext
Diane NavarroAdministratorNamed as facility administrator
Tracy FlahertyParticipant in COMP II interview
Dawn SmithParticipant in COMP II interview
Julia KimLicensing Program ManagerNamed in report
Dianne RamosLicensing Program AnalystNamed in report

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