Glendale, CA

Glendale Healthcare Center

5-star overall rating with 4-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1208 S. Central Ave, Glendale, CA

(818) 246-5516

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cambridge Healthcare Services

Operator or chain grouping

Approved since

1994-09-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

32 facilities

Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.37

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.41

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.29

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.07

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.78

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.87

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.18

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.36

CMS adjusted RN staffing hours

Adjusted total hours

3.91

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,150

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.30

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.76

Baseline 21.99% · Performance 21.37% · Measure score 0.76 · Achievement 0 · Improvement 0.76

Healthcare-associated infections

Baseline 6.82% · Performance 9.20% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.09

Baseline 50.00% · Performance 42.86% · Measure score 5.09 · Achievement 5.09 · Improvement 2.34

Adjusted total nurse staffing

2.67

Baseline 3.39 hours · Performance 3.84 hours · Measure score 2.67 · Achievement 2.67 · Improvement 1.36

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.91%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 139 · Observed rate 10.07% · Lower 95% interval 6.57%
Discharge to community	40.36%	50.57% 10.2 pts worse	Worse than the National Rate · Eligible stays 152 · Observed rate 31.58% · Lower 95% interval 33.65%
Medicare spending per beneficiary	1.28	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 113 · Denominator 113
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 113
Discharge self-care score	48.98%	53.69% 4.7 pts worse	Numerator 24 · Denominator 49
Discharge mobility score	55.1%	50.94% 4.2 pts better	Numerator 27 · Denominator 49
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 113 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	9.2%	7.12% 2.1 pts worse	No Different than the National Rate · Eligible stays 108 · Observed rate 13.89% · Lower 95% interval 5.74%
Staff COVID-19 vaccination coverage	16.47%	8.2% 8.3 pts better	Numerator 14 · Denominator 85
Staff flu vaccination coverage	39.46%	42% 2.5 pts worse	Numerator 58 · Denominator 147
Discharge function score	53.06%	56.45% 3.4 pts worse	Numerator 26 · Denominator 49
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 42 · Denominator 42
Transfer of health information to patient	97.62%	96.28% 1.3 pts better	Numerator 41 · Denominator 42
Resident COVID-19 vaccinations up to date	9.62%	25.2% 15.6 pts worse	Numerator 5 · Denominator 52

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	2.3 0.2 pts better	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 3.0 · Expected 2.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.6 0.5 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.3 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	98.5% 1.5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	98.2% 1.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.7%	1.6% 0.9 pts better	3.3% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.4%	6.8% 4.4 pts better	11.4% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.3% · Q3 0.0% · Q4 0.0% · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight	6.2%	4.1% 2.1 pts worse	5.4% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 5.9% · Q3 6.2% · Q4 0.0% · 4Q avg 6.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.5%	13.7% 6.2 pts better	19.6% 12.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.3% · Q3 6.1% · Q4 6.2% · 4Q avg 7.5%
Percentage of long-stay residents who received an antipsychotic medication	8.2%	14.2% 6 pts better	16.7% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 16.7% · Q3 3.7% · Q4 0.0% · 4Q avg 8.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.4% 0.4 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	2.1%	11.0% 8.9 pts better	16.3% 14.2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.4%	10.7% 3.3 pts better	14.9% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 8.8% · Q3 6.7% · Q4 3.4% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.0% 1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.2% 1.2 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.2%	10.9% 7.3 pts worse	19.8% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 11.4% · Q3 26.1% · Q4 29.5% · 4Q avg 18.2%
Percentage of long-stay residents with pressure ulcers	7.6%	4.7% 2.9 pts worse	5.1% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 9.7% · Q3 3.4% · Q4 10.1% · 4Q avg 7.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.0% 6 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	6.4%	11.2% 4.8 pts better	12.0% 5.6 pts better	Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 6.7% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.5% 0.3 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 1.9% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.1%	93.2% 4.9 pts better	79.7% 18.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.0%	23.2% 3.8 pts worse	23.9% 3.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 30.3% · Expected 26.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-24 · Fire 2025-01-24

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-25 · Fire 2024-01-25

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2023-01-26 · Fire 2023-01-26

11 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-01-24

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-22

F · Potential for more than minimal harm 2024-01-25

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-02-22

E · Potential for more than minimal harm 2024-01-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-22

E · Potential for more than minimal harm 2024-01-25

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-25

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-25

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2024-02-22

C · Minimal harm 2024-01-25

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-02-22

C · Minimal harm 2024-01-25

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2024-02-22

F · Potential for more than minimal harm 2023-01-26

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2023-02-23

F · Potential for more than minimal harm 2023-01-26

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-02-23

F · Potential for more than minimal harm 2023-01-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-23

D · Potential for more than minimal harm 2023-01-26

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-02-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-17

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-10-09

E · Potential for more than minimal harm 2025-01-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-24

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-24

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-24

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-24

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-22

D · Potential for more than minimal harm 2025-01-24

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-02-22

D · Potential for more than minimal harm 2024-09-09

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-25

E · Potential for more than minimal harm 2024-01-25

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-02-22

E · Potential for more than minimal harm 2024-01-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-25

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-25

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-25

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-25

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-25

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-02-22

D · Potential for more than minimal harm 2023-03-20

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-01-26

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-02-28

E · Potential for more than minimal harm 2023-01-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-02-28

E · Potential for more than minimal harm 2023-01-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-28

D · Potential for more than minimal harm 2023-01-26

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-02-28

D · Potential for more than minimal harm 2023-01-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-02-28

D · Potential for more than minimal harm 2023-01-26

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-02-28

D · Potential for more than minimal harm 2023-01-26

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-02-28

D · Potential for more than minimal harm 2023-01-26

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-02-28

D · Potential for more than minimal harm 2023-01-26

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-02-28

D · Potential for more than minimal harm 2023-01-26

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-02-28

Penalties and ownership

What sits behind the stars

Ownership

Ira E Smedra Living Trust

5% Or Greater Direct Ownership Interest · Organization

45% 17 facilities 2003-03-25

Smedra, Ira

5% Or Greater Indirect Ownership Interest · Individual

45% 98 facilities 2003-03-25

Win Win Enterprises, LLC

5% Or Greater Direct Ownership Interest · Organization

45% 28 facilities 2003-03-25

Bh Alliance

5% Or Greater Direct Ownership Interest · Organization

10% 14 facilities 2003-03-25

Anderson, Tiffany