Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Marycrest Manor during CMS and state inspections, most recent first.
The facility failed to maintain proper temperature control in a walk-in refrigerator, with multiple instances of temperatures exceeding the recommended 40°F. The Kitchen Aide noted the lack of corrective actions documented, and the Dietary Supervisor was not informed of the discrepancies, resulting in no measures being taken to address the issue.
A facility failed to accurately complete an MDS assessment for a resident by not encoding Depakote, an anticonvulsant, under the correct section. This resulted in incorrect data being sent to CMS. The resident, with diagnoses including dementia and diabetes, was dependent on staff for daily activities. The MDSN admitted the error, highlighting the importance of accurate assessments.
A facility failed to provide a resident with four padded side rails as ordered by a physician for seizure precautions. Despite the care plan and order summary indicating the need for padded side rails, an observation revealed that the resident's bed had unpadded side rails, posing a risk of injury during a seizure.
A resident was inappropriately prescribed Seroquel, an antipsychotic medication, without a psychiatric diagnosis. The resident, who had dementia but no psychiatric condition, was given Seroquel for dementia psychosis, contrary to the facility's policy that requires appropriate diagnoses for such prescriptions.
A resident with dementia, Diabetes Mellitus, and hypertension did not receive physician-ordered lab tests due to a lack of communication between the physician and nursing staff. The tests were crucial for monitoring the resident's health conditions, but they were not completed, contrary to the facility's policy.
Failure to Maintain Refrigerator Temperature Control
Penalty
Summary
The facility failed to maintain proper temperature control in one of its walk-in refrigerators during February 2025, as evidenced by multiple recorded instances where the temperature exceeded the recommended 40°F. Specifically, temperatures of 44°F, 42°F, 45°F, and 45°F were recorded on different days, with no corrective actions documented in the log. The Kitchen Aide (KA) confirmed that the temperature readings were taken early in the morning when the refrigerator was not being accessed, ensuring accuracy. However, the KA noted that the lack of comments in the corrective action column indicated that no measures were taken to address the temperature deviations. The Dietary Supervisor (DS) corroborated that they were not informed of the temperature discrepancies, and as a result, no corrective actions were implemented. The DS stated that either they or the maintenance supervisor would typically document any corrective actions taken in response to out-of-range temperatures. The failure to notify the DS and the absence of documented corrective actions suggest a lapse in the facility's protocol for managing refrigerator temperature deviations, potentially leading to food spoilage and unsafe food conditions for residents.
Inaccurate MDS Assessment for Anticonvulsant Medication
Penalty
Summary
The facility failed to ensure an accurate Minimum Data Set (MDS) assessment for one of the sampled residents, identified as Resident 18. The deficiency involved the incorrect encoding of Resident 18's medication, Depakote, which is an anticonvulsant, in the MDS assessment under Section N0415 High-Risk Drug Classes. This error resulted in the transmission of incorrect data to the Center for Medicare and Medicaid Services (CMS), reflecting inappropriate MDS care screening and assessment tool practices. Resident 18 was admitted to the facility with diagnoses including dementia, diabetes mellitus, and hypertension. The MDS assessment indicated that Resident 18 had severely impaired cognitive skills and was totally dependent on staff for certain daily activities. Despite having an active order for Depakote to manage a mood disorder, the medication was not encoded as an anticonvulsant in the MDS assessment. The Minimum Data Set Nurse (MDSN) acknowledged the oversight, attributing it to human error, and emphasized the importance of accurate assessments in reflecting the care provided by the facility.
Failure to Provide Padded Side Rails for Seizure Precautions
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident 28, had four padded side rails on their bed as per the physician's order. This deficiency was identified during a review of the resident's care plan and order summary, which indicated the necessity of padded side rails for seizure precautions. Despite the physician's order, an observation revealed that Resident 28's bed had four unpadded side rails, which contradicted the prescribed safety measures intended to protect the resident during a seizure. Resident 28 was admitted to the facility with diagnoses including hypertension, seizures, and dementia. The resident's care plan, dated June 20, 2024, specified the need for padded side rails due to seizure precautions. During an interview and record review with an LVN, it was confirmed that the order for padded side rails was in place, yet the observation at the bedside showed non-compliance with this order, as the side rails were unpadded. This oversight had the potential to result in injury to Resident 28 in the event of a seizure.
Inappropriate Prescription of Antipsychotic Medication
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident 28, was not prescribed Seroquel, an antipsychotic medication, without a proper psychiatric diagnosis. Resident 28 was admitted with diagnoses including hypertension, seizures, and dementia, but no psychiatric diagnosis was noted. Despite this, the resident was prescribed Seroquel 25 mg for dementia psychosis, which is not an appropriate use of the medication according to the facility's policy and procedure on psychotropic medications. During an interview and record review with the Director of Staff Development, it was confirmed that Resident 28 did not have a psychiatric diagnosis that would warrant the use of Seroquel. The Director of Staff Development acknowledged that antipsychotics are typically prescribed for psychiatric diagnoses to manage behavior and that Seroquel is not used for dementia. The facility's policy emphasizes that each resident's drug regimen should be free of unnecessary drugs, and physician orders should contain the appropriate diagnosis, which was not adhered to in this case.
Failure to Complete Physician-Ordered Lab Tests
Penalty
Summary
The facility failed to ensure that a laboratory test was completed as ordered by the physician for one of the residents, identified as Resident 18. Resident 18 was admitted to the facility with diagnoses including dementia, Diabetes Mellitus, and hypertension. The resident's MDS assessment indicated severe cognitive impairment and total dependence on staff for certain daily activities. An order was placed on 12/9/2024 for several laboratory tests, including a Complete Blood Count, Comprehensive Metabolic Panel, Thyroid Stimulating Hormone, Lipid Panel, and hemoglobin A1C, which were crucial for monitoring the resident's health conditions. During a review of the clinical records, it was discovered that these laboratory tests were not completed, and the results were unavailable. The Director of Nursing confirmed that the physician had ordered the tests remotely but did not communicate this to the licensed nursing staff. This oversight meant that the necessary routine blood tests to monitor Resident 18's various diagnoses and clinical condition were not conducted, potentially impacting the evaluation and continuation of ongoing treatment. The facility's policy mandates the provision of laboratory services as ordered by the physician, which was not adhered to in this instance.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Culver City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Marina Pointe Healthcare & Subacute | 1.1 mi | — | 7 | 0 |
| Southern California Hosp At Culver City D/p Snf | 2 mi | — | 9 | 0 |
| Vista Del Sol Care Center | 2.3 mi | — | 3 | 0 |
| Meadowbrook Behavioral Health Center | 2.3 mi | — | 14 | 0 |
| View Park Convalescent Center | 2.4 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.