12 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
3 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Reseda, CA
5-star overall rating with 4-star inspections with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
7150 Tampa Ave, Reseda, CA
(818) 774-3000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
105
Certified beds
Average residents
63
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1981-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.71
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.38
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.33
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
5.42
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.09
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.72
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.71
CMS adjusted RN staffing hours
Adjusted total hours
5.40
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
195
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
78.58
Composite VBP score used to determine payment impact.
Payment multiplier
1.0255
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 16.27% · Performance 16.50% · Measure score 10 · Achievement 10 · Improvement 0
Healthcare-associated infections
3.83
Baseline 5.94% · Performance 6.69% · Measure score 3.83 · Achievement 3.83 · Improvement 0
Total nurse turnover
10
Baseline 35.09% · Performance 17.91% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
7.60
Baseline 6.34 hours · Performance 5.24 hours · Measure score 7.60 · Achievement 7.60 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.06% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 330 · Observed rate 9.39% · Lower 95% interval 8.36% |
| Discharge to community | 69.48% |
50.57%
18.9 pts better
|
Better than the National Rate · Eligible stays 331 · Observed rate 69.49% · Lower 95% interval 65.67% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.8% |
95.27%
2.5 pts better
|
Numerator 222 · Denominator 227 |
| Falls with major injury | 0.44% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 227 |
| Discharge self-care score | 64.32% |
53.69%
10.6 pts better
|
Numerator 119 · Denominator 185 |
| Discharge mobility score | 76.22% |
50.94%
25.3 pts better
|
Numerator 141 · Denominator 185 |
| Pressure ulcers or injuries, new or worsened | 2.64% |
2.29%
0.4 pts worse
|
Numerator 6 · Denominator 227 · Adjusted rate 2.2% |
| Healthcare-associated infections requiring hospitalization | 6.69% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 194 · Observed rate 5.15% · Lower 95% interval 4.42% |
| Staff COVID-19 vaccination coverage | 37.84% |
8.2%
29.6 pts better
|
Numerator 42 · Denominator 111 |
| Staff flu vaccination coverage | 80.43% |
42%
38.4 pts better
|
Numerator 111 · Denominator 138 |
| Discharge function score | 74.59% |
56.45%
18.1 pts better
|
Numerator 138 · Denominator 185 |
| Transfer of health information to provider | 92.86% |
95.95%
3.1 pts worse
|
Numerator 39 · Denominator 42 |
| Transfer of health information to patient | 99.36% |
96.28%
3.1 pts better
|
Numerator 156 · Denominator 157 |
| Resident COVID-19 vaccinations up to date | 60.32% |
25.2%
35.1 pts better
|
Numerator 76 · Denominator 126 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.3
0.3 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.6
1.1 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · 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 | 5.6% |
1.6%
4 pts worse
|
3.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 9.8% · Q3 5.0% · Q4 2.7% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 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 who lose too much weight | 5.7% |
4.1%
1.6 pts worse
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 2.9% · Q3 5.7% · Q4 6.2% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2% |
13.7%
2.5 pts better
|
19.6%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 11.1% · Q3 8.6% · Q4 6.2% · 4Q avg 11.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.7% |
14.2%
10.5 pts better
|
16.7%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 6.2% · Q3 0.0% · Q4 3.1% · 4Q avg 3.7% · 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 | 13.1% |
11.0%
2.1 pts worse
|
16.3%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.6% |
10.7%
5.1 pts better
|
14.9%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 9.4% · Q3 3.2% · Q4 3.4% · 4Q avg 5.6% · 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 | 1.9% |
1.2%
0.7 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 7.5% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.3% |
10.9%
3.6 pts better
|
19.8%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 12.2% · Q3 7.2% · Q4 2.6% · 4Q avg 7.3% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
4.7%
0.9 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 6.2% · Q3 2.1% · Q4 5.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
94.0%
3.2 pts better
|
81.7%
15.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 92.9% · Q3 98.7% · Q4 98.9% · 4Q avg 97.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.5% |
11.2%
5.7 pts better
|
12.0%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 4.7% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.6% |
93.2%
5.4 pts better
|
79.7%
18.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
23.2%
0.8 pts worse
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 19.5% · Expected 19.4% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
3 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-16
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-16
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-02-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-15
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-02-15
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 2024-02-15
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-02-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-02-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-02-15
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-02-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-02-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-02-15
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2023-01-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-13
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-01-13
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2023-01-13
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 2023-01-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-01-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-01-13
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-12
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-02-12
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-02-12
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-02-12
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-02-12
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 2025-02-12
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-02-12
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-02-12
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 2025-02-12
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-12
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-02-12
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-12
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2025-01-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-12
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 2024-02-09
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-02-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-09
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-09
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 2024-02-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-09
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-02-09
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-09
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 2023-01-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-01-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-16
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-16
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-01-16
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-01-16
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-01-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-16
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 2023-01-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-16
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-01-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-01-16
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-01-16
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-01-16
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-01-16
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Security Interest · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Nearby options
Reseda, CA
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Reseda, CA
1-star overall rating with 1-star inspections with Special Focus status with $30,972 in total fines with 45 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Reseda, CA
2-star overall rating with 2-star inspections with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Jump out