St John of God Retirement & Care Center

    2468 S St Andrews Pl, Los Angeles, CA, 90018
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Lovely grounds, serious safety concerns

    I toured this beautiful, resort-like campus - clean, well-kept grounds, good amenities, helpful/compassionate staff and solid memory-care options with some excellent clinicians. However, I also encountered repeated warnings about understaffing, language barriers, inconsistent/poor nutrition, rude or unprofessional nurses, and serious safety concerns reported by families (falls, neglect, even alleged theft and a death). Bottom line: lovely facility and many caring people, but those safety and management red flags mean I would be extremely cautious and vet it thoroughly before placing a vulnerable loved one.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor patio
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.26 · 110 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.6
    • Staff

      3.8
    • Meals

      3.6
    • Amenities

      4.7
    • Value

      3.2

    Pros

    • Beautiful, historic campus-like grounds and landscaping
    • Clean, well-maintained and updated facilities
    • Gated, secure property with guarded parking
    • Convenient central location near USC, Downtown, shopping and transit
    • Friendly, kind and compassionate staff (many positive reports)
    • Professional nursing and clinical staff (frequent praise)
    • Multiple levels of care on-site (independent, assisted, memory care, SNF)
    • Active activity program with varied schedule and outings
    • On-site amenities (pool, tennis court, exercise room, clinics, transport)
    • Memory care described as odor-free with individualized attention
    • All-inclusive pricing in some plans and perceived good value
    • Well-appointed rooms with large windows/balconies and courtyard views
    • Good safety procedures and calm, peaceful atmosphere reported
    • Coordination with outside providers (e.g., Kaiser) and physician access
    • Positive family communication and regular updates in many cases

    Cons

    • Serious allegations about one chef (Enrique) — abusive, racist remarks, and hygiene concerns
    • Inconsistent food quality and nutrition for seniors; some report terrible meals
    • Food hygiene problems reported (unclean food carts, hand-washing lapses)
    • Allegations of staff theft and poor staff supervision
    • Reports of neglect and abuse (falls in shower, left unattended in dining room)
    • Some nurses described as uncaring or unresponsive; named staff concerns reported
    • Language and communication barriers with some nursing staff (Spanish/English issues)
    • Questionable billing practices and pressure/fees related to SNF transfers
    • Variable management behavior (rude admissions, poor responsiveness, inconsistent administration)
    • Limited or inconvenient shuttle/transport options
    • Memory Care lacks wheelchair access to some areas and relies on SNF building
    • Temperature control complaints (rooms hot/stuffy)
    • Mixed reports about staffing levels/being understaffed at times
    • Occasional issues with medication/pain management and clinical follow-through

    Summary review

    Overall sentiment across reviews is mixed but leans positive regarding the physical environment, amenities, and many frontline caregivers. Repeated praise centers on the facility’s attractive, campus-like grounds, historic Tudor-style architecture, bright rooms with large windows or balconies, well-kept landscaping and a gated, secure entrance. Many reviewers emphasize that the community is clean, organized, and calm, with an on-site continuum of care (independent living, assisted living, memory care, skilled nursing) that is convenient for families. Multiple accounts highlight active, varied programming (outings, garden, exercise, pool, classes), good coordination with external providers (e.g., Kaiser), and an overall welcoming, home-like atmosphere that helped residents regain weight, socialize, and feel safe. Several reviewers called out staff compassion and professionalism—nurses, activities staff, and certain administrators received consistent positive mentions for being attentive, proactive, and caring.

    However, there are significant and recurring negative themes that potential residents and families should weigh carefully. The most alarming pattern is a set of serious allegations concerning staff misconduct and safety: multiple reviewers claim staff theft, neglect, and abuse (examples include a fall in the shower allegedly causing bruising, a resident left in the dining room until turning blue, and even one family attributing a death to facility care). These are rare but severe allegations and contrast sharply with the many positive care reports. Food service is another major point of contention — while some residents enjoy the meals and variety, others describe food as poor, non-nutritious for seniors, or even unsafe. Specific claims include unclean food carts, incorrect or missing orders, mixed-up beverages (an incident reported where honey drinks were mixed into regular liquids leading to choking risk), and an evident hygiene problem traced by reviewers to the main chef. One name (chef Enrique) appears in multiple complaints accusing him of abusive behavior toward staff, racist remarks toward Hispanic staff, unprofessional conduct with a resident’s family, threats to fire staff, and prompting a health department complaint. These are serious allegations reported by reviewers and represent a prominent negative trend.

    Staff quality and consistency are mixed: many reviewers praise friendly, helpful, and compassionate caregivers and single out outstanding individuals (including a knowledgeable Memory Care Activities Director and specific nurses). Yet other reviewers report unresponsive, uncaring, or even rude nursing staff with a few nurses named negatively. Language barriers are repeatedly noted — several Spanish-speaking families describe mismatch or difficulty communicating with some nursing staff, which they say negatively impacted care. Staffing levels and management responsiveness show variability too: some families appreciate timely calls, ongoing communication, and attentiveness, while others recount rude admissions staff, poor management follow-through, hung-up calls, and perceived arrogance from administrators. Billing and administrative practices are another area of concern for some reviewers, who allege pressure to move residents, opaque or questionable billing, and increased rates tied to transfers into the Skilled Nursing Facility.

    Facility logistics and design receive praise for the most part, but there are specific shortcomings to note. Memory Care is frequently described as well-run and odor-free with one-on-one attention, but reviewers warned that wheelchair access is limited in Memory Care and transfer to the SNF building (which some described as more hospital-like) may be required for accessible care. The campus’s bi-level layout has been mentioned as causing staff to be split between levels, which could affect response times. Other operational grievances include limited shuttle services, occasional temperature control problems in rooms, and variable food/service interactions (incorrect orders or missing items).

    Given the polarizing nature of these reviews, a few clear patterns and recommendations emerge for prospective residents and families. First, the property and amenities are a definite strength: tour the grounds and rooms to confirm noise, HVAC, and cleanliness meet your expectations. Second, ask directly about dining oversight, menu planning for senior nutrition, food safety protocols, and whether any complaints (including health department actions) have occurred recently. Third, inquire about staffing ratios, language capabilities of nursing staff (especially if Spanish is preferred), training for dementia care, and the facility’s processes for reporting and investigating incidents. Fourth, for residents who use wheelchairs, inspect Memory Care accessibility and ask how transfers to the SNF are handled. Finally, check billing transparency and policies around transfers to Skilled Nursing to avoid surprises.

    In summary, St John of God Retirement & Care Center receives substantial praise for its setting, many compassionate caregivers, range of amenities, and active lifestyle offerings. At the same time, there are repeated, serious complaints — particularly concerning food service safety and hygiene, alleged misconduct by specific staff, instances of neglect or poor clinical follow-through, language barriers, and inconsistent management responsiveness — that warrant careful, specific inquiry during a tour and reference checks. Families who prioritize a beautiful campus, structured activities, and a generally caring staff may find it an excellent fit, but those concerned about clinical consistency, nutrition/hygiene, or administrative transparency should investigate those areas thoroughly before deciding.

    Location

    Map showing location of St John of God Retirement & Care Center

    About St John of God Retirement & Care Center

    St John Grande is an established care home dedicated to providing exceptional support, dignity, and comfort for seniors who require assisted living, retirement care, memory care, and specialized residential support. Designed to address the unique needs of elderly residents, St John Grande creates a welcoming and nurturing environment where individuals can enjoy meaningful connections, daily activity, and personalized attention. Whether the resident requires general assistance with daily living or more comprehensive memory care services, the philosophy at St John Grande centers on treating every individual with genuine kindness, understanding, and empathy.

    Residents at St John Grande benefit from thoughtfully curated services tailored to enhance quality of life and promote well-being. The care home features various common areas and inviting living spaces, creating opportunities for social engagement and community connection. Personalized care plans are developed for each resident, ensuring that their individual preferences, health requirements, and emotional needs are always met. The professional care team at St John Grande is committed to fostering a respectful atmosphere where residents feel safe, valued, and genuinely supported at every stage of their journey.

    In addition to meeting physical needs and health care requirements, St John Grande places a strong emphasis on emotional wellness and social fulfillment. The activities program includes a range of stimulating options designed to suit various interests and backgrounds—from arts and crafts to music therapy and group discussions. Residents are encouraged to participate at their own comfort level, promoting a strong sense of belonging and mental engagement. For those in memory care, specialized therapies and structured routines are provided to foster stability, cognitive function, and emotional comfort.

    St John Grande is devoted to making the transition into senior living as smooth and comfortable as possible for both residents and their families. The care team is always available to provide ongoing communication, guidance, and compassionate support during each step of the process. With a reputation for warmth, responsiveness, and dedication, St John Grande remains a trusted choice for families seeking high-quality senior care in a supportive and loving environment.

    People often ask...

    State of California Inspection Reports

    20

    Inspections

    2

    Type A Citations

    0

    Type B Citations

    4

    Years of reports

    13 Jan 2025
    Reviewed an annual check at the center, met with the administrator, and collected required records including staff roster, resident roster, face sheet, physician’s report, preplacement appraisal information, needs and service plan, and personal rights. Time constraints meant it would continue later, and an exit interview was conducted.
    27 Jan 2025
    Found the site clean, well maintained, with eight rooms inspected, adequate beds and storage, proper lighting, and bathrooms up to code; water temperatures ranged from 111.8°F to 114°F. Found safety and readiness in place, including operable smoke/CO detectors, locked sharps and cleaning agents, sufficient food, charged extinguishers, complete first aid kit, required postings, observed infection control practices, and reviewed personnel files, resident files, MARs.
    17 Jun 2024
    Found the residence clean, safe, and well-maintained, with secure medication storage and proper infection-control measures in place. No deficiencies were observed, and no citations were issued.
    17 Jun 2024
    Inspection found no deficiencies at the facility, all areas were in compliance with regulations.
    01 Feb 2024
    Found no deficiencies and no citations after the annual visit. Observed clean, well-maintained surroundings with proper safety measures and infection control practices in place.
    01 Feb 2024
    Confirmed no deficiencies or citations during the visit. All areas of the facility were found to be in compliance with regulations.
    02 Jun 2023
    Found no deficiencies during an unannounced annual visit. Observed clean, well-maintained spaces with secured storage for hazardous items, adequate supplies, and functioning safety systems; reviewed staff files, resident files, and medication records, and interviewed residents and staff at the site.
    02 Jun 2023
    Conducted an unannounced annual visit, observed clean and well-maintained facilities, residents and staff interviewed, no deficiencies noted.
    01 Feb 2023
    Found no deficiencies identified during an unannounced visit focused on infection control; observed screening protocols, sanitizing stations, staff wearing masks, and a 30-day PPE supply, with 24 residents in placement and safety measures in place.
    01 Feb 2023
    Found no deficiencies during the visit, facility observed to be in compliance with infection control measures and physical plant regulations.
    26 Oct 2022
    Identified two deficiencies during an unannounced annual visit focused on infection control; observed ongoing infection-control measures, screening protocols for residents, staff, and visitors, ample PPE, and proper kitchen storage practices.
    26 Oct 2022
    Identified deficiencies regarding infection control measures and fire inspection. Recommended continuous monitoring of CDC guidance for COVID-19 updates.
    • § 87202(a)
    • § 87303(e)(2)
    27 Jan 2022
    Identified clean, well‑furnished resident rooms on two floors with functioning bathrooms and clear walkways; staff wore masks and PPE was readily available, and no issues were cited.
    27 Jan 2022
    Confirmed cleanliness, safety, and compliance during facility inspection.
    27 Dec 2021
    Found that the resident named in the allegations does not live at this care setting and instead resides at another care setting. The three allegations—injury sustained while in care, pneumonia not being prevented, and failure to inform the authorized person in a timely manner—were unfounded.
    27 Dec 2021
    Confirmed that the resident in question was not at the facility, and allegations regarding injury and illness were unfounded.
    30 Mar 2021
    Found that the individual involved did not reside in a licensed community care setting overseen by the licensing department. Investigated the allegation of personal rights and found it unfounded.
    18 Aug 2021
    Found the site clean and well maintained, with rooms properly furnished, functioning bathrooms with grab bars, and clear walkways on both floors. Reviewed staff, resident, and medication records; PPE was readily available and staff wore masks; no issues identified.
    18 Aug 2021
    Confirmed clean and odor-free resident rooms, adequate furnishings, functioning bathrooms, and clear walkways during inspection. Staff were observed wearing masks and a 30-day supply of PPE was available.
    30 Mar 2021
    Determined that the allegation of a resident sustaining a fracture in care was unfounded, as the named individual was not residing in a licensed facility overseen by the Community Care Licensing Department. An exit interview conducted, and no citations issued.

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