Health inspection·February 17, 2026

F 0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure a reliable transportation arrangement for a resident to receive medically required dialysis treatment (process of removing waste products and excess fluid from the body using a machine when the kidneys are not able to do so) for one of five sampled residents Resident 5. This failure resulted in Resident 5 missing three medically necessary dialysis treatments on [DATE], [DATE] and [DATE] and placed the resident at risks for potentially serious unwanted outcomes. A review of Resident 5's admission Record indicated Resident 5 was admitted to the facility on [DATE], and readmitted on [DATE] with a diagnoses including pulmonary hypertension (high blood pressure in the arteries of the lungs, causing the blood vessels there to become narrow, stiff, or blocked), type 2 diabetes mellitus (a disease that result in too much sugar in the blood) end stage renal disease (ESRD-- The stage of renal impairment that appears irreversible and permanent, and requires a regular course of dialysis or kidney transplantation to maintain life) dependence on renal dialysis ( the process of removing waste products and excess fluid from the body using a machine when the kidneys are not able to do so). A review of Resident 5's Minimum Data Set (MDS- a standardized resident assessment tool) dated [DATE] indicated Resident 5 had intact cognitive skills (ability to acquire and understand knowledge), partially dependent on (helper does less than half the effort, helper lifts, holds, or supports trunk or limbs, but provides less than half the effort) staff assistance for lying to sitting on side of bed, sit to stand, chair/bed to chair transfer, toilet transfer, car transfer. Resident 5 is dependent on dialysis treatment. A review of Resident 5's Order Summary Report indicated, Resident 5 had a dialysis treatment ordered for Tuesday-Thursday-Saturday Dialysis, Chair time 12:45 PM-4:30 PM. Transportation pick up at and return at 4:45 PM. A review of Resident 5's Care Plan initiated on [DATE] indicated, Resident 5 missed dialysis appointment on [DATE] and [DATE] due to transportation. The same Care plan intervention indicated, Resident 5 will be monitored for changes in mental status, lethargy, somnolence (drowsiness, excessive sleepiness), fatigue, tremors. A review of Resident 5's Progress Notes dated [DATE] indicated Resident 5 missed dialysis appointment on [DATE]. Resident missed scheduled dialysis appointment today due to arranged transportation not arriving as scheduled. New order received to transfer resident to ER (emergency room) for further evaluation/management. A review of Resident 5's SBAR form (Situation, Background, Assessment, Recommendation - a technique that can be used to facilitate prompt and appropriate communication between the different disciplines caring for the resident) indicated the following: On [DATE], transportation did not arrive for Resident 5's for a 2:30 PM dialysis appointment. Resident 5 missed dialysis appointment. On [DATE], transportation will not arrive until 3:30 PM for a 2:30 PM appointment. Resident 5 missed dialysis appointment and to be transferred to general acute care hospital (GACH) for dialysis. On [DATE], Resident 5 missed dialysis appointment due to arranged transportation not arriving as scheduled. Resident 5 to be transferred to GACH for dialysis. A review of Resident 5's Progress Residents Affected - Some (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 555808 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 555808 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/17/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Santa Monica Rehabilitation Center 1338 20th Street Santa Monica, CA 90404 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)