Woodland Hills, CA

Motion Picture And T.v. Hosp D/P SNF

2-star overall rating with 2-star inspections with 20 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

23388 Mulholland Dr., Woodland Hills, CA

(818) 876-1888

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

195

Certified beds

Average residents

88

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

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

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.45

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.99

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.95

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.97

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

4.48

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

5.05

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary Not Available
1.02
No data were submitted for this measure.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage 42.47%
8.2%
34.3 pts better
Numerator 79 · Denominator 186
Staff flu vaccination coverage 51.61%
42%
9.6 pts better
Numerator 112 · Denominator 217
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
2.3
0.3 pts better
1.9
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.2 · Expected 1.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.4
1.6
1.2 pts better
1.8
1.4 pts better
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.1 · 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 2.3%
1.6%
0.7 pts worse
3.3%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.3% · Q3 2.3% · Q4 3.5% · 4Q avg 2.3% · 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 6.1%
4.1%
2 pts worse
5.4%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 4.5% · Q3 8.0% · Q4 3.6% · 4Q avg 6.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.9%
13.7%
2.8 pts better
19.6%
8.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 9.1% · Q3 10.3% · Q4 15.3% · 4Q avg 10.9%
Percentage of long-stay residents who received an antipsychotic medication 17.1%
14.2%
2.9 pts worse
16.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 16.7% · Q3 20.0% · Q4 18.7% · 4Q avg 17.1% · 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 17.7%
11.0%
6.7 pts worse
16.3%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 22.1% · Q3 11.5% · Q4 16.1% · 4Q avg 17.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 20.2%
10.7%
9.5 pts worse
14.9%
5.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 13.2% · Q3 10.9% · Q4 17.7% · 4Q avg 20.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
1.0%
0.5 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 4.3%
1.2%
3.1 pts worse
1.7%
2.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.8% · Q3 2.3% · Q4 4.7% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.3%
10.9%
2.4 pts worse
19.8%
6.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 13.4% · Q3 18.7% · Q4 10.4% · 4Q avg 13.3%
Percentage of long-stay residents with pressure ulcers 5.2%
4.7%
0.5 pts worse
5.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.2% · Q3 8.8% · Q4 3.2% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.8%
94.0%
10.2 pts worse
81.7%
2.1 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 83.8%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-11 · Fire 2025-04-11

20 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-04-04 · Fire 2024-04-04

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-04-14 · Fire 2023-04-14

11 health deficiencies

Top issue: Resident Rights (5 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-29

D · Potential for more than minimal harm 2025-04-11

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-04-29

C · Minimal harm 2025-04-11

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2025-04-29

C · Minimal harm 2025-04-11

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-04-29

C · Minimal harm 2025-04-11

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-04-29

D · Potential for more than minimal harm 2024-04-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-09

D · Potential for more than minimal harm 2024-04-04

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-04-09

D · Potential for more than minimal harm 2023-04-14

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-05-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-04

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-08-20

D · Potential for more than minimal harm 2025-08-04

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-08-20

D · Potential for more than minimal harm 2025-08-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-08-20

E · Potential for more than minimal harm 2025-04-11

F552 · Resident Rights Deficiencies

Health

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

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-04-11

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 2025-05-16

E · Potential for more than minimal harm 2025-04-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-04-11

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 2025-05-16

E · Potential for more than minimal harm 2025-04-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-04-11

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 2025-05-16

E · Potential for more than minimal harm 2025-04-11

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-04-11

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-04-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-04-11

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 2025-05-16

E · Potential for more than minimal harm 2025-04-11

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 2025-05-16

E · Potential for more than minimal harm 2025-04-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-11

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 2025-05-16

D · Potential for more than minimal harm 2025-04-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-11

F690 · Quality of Life and Care Deficiencies

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 2025-05-16

D · Potential for more than minimal harm 2025-04-11

F761 · Pharmacy Service Deficiencies

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 2025-05-16

D · Potential for more than minimal harm 2025-04-11

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-05-16

F · Potential for more than minimal harm 2024-04-04

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2024-04-27

E · Potential for more than minimal harm 2024-04-04

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-27

E · Potential for more than minimal harm 2024-04-04

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-04-27

E · Potential for more than minimal harm 2024-04-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-04-27

E · Potential for more than minimal harm 2024-04-04

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 2024-04-27

E · Potential for more than minimal harm 2024-04-04

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-04-27

E · Potential for more than minimal harm 2024-04-04

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-04-27

E · Potential for more than minimal harm 2024-04-04

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 2024-04-27

E · Potential for more than minimal harm 2024-04-04

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-04-27

E · Potential for more than minimal harm 2024-04-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-27

D · Potential for more than minimal harm 2024-04-04

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-04-27

D · Potential for more than minimal harm 2024-04-04

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 2024-04-27

D · Potential for more than minimal harm 2024-04-04

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 2024-04-27

D · Potential for more than minimal harm 2024-04-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-27

D · Potential for more than minimal harm 2024-04-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-27

D · Potential for more than minimal harm 2024-04-04

F761 · Pharmacy Service Deficiencies

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 2024-04-27

D · Potential for more than minimal harm 2024-04-04

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-04-27

D · Potential for more than minimal harm 2024-04-04

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 2024-04-27

D · Potential for more than minimal harm 2023-07-28

F620 · Resident Rights Deficiencies

Health

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Corrected 2023-09-13

E · Potential for more than minimal harm 2023-04-14

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 2023-05-05

E · Potential for more than minimal harm 2023-04-14

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 2023-05-05

E · Potential for more than minimal harm 2023-04-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-14

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-14

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-14

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-14

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 2023-05-05

D · Potential for more than minimal harm 2023-04-14

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-14

F761 · Pharmacy Service Deficiencies

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 2023-05-05

Penalties and ownership

What sits behind the stars

Ownership

Beitcher, Robert

Operational/Managerial Control · Individual

0% 1 facilities 2011-05-31
Beitcher, Robert

Corporate Director · Individual

0% 1 facilities 2010-06-22
Beitcher, Robert

Corporate Officer · Individual

0% 1 facilities 2011-05-31
Beitcher, Robert

W-2 Managing Employee · Individual

0% 1 facilities 2011-05-31
Clooney, George

Corporate Director · Individual

0% 1 facilities 2010-09-07
Dinham, Vilma

W-2 Managing Employee · Individual

0% 1 facilities 2018-07-01
Fleischer, Mark

Corporate Director · Individual

0% 1 facilities 2010-06-22
Gianopulos, Jim

Corporate Director · Individual

0% 1 facilities 2010-06-22
Karlin, Michael

Corporate Director · Individual

0% 1 facilities 2010-06-22
Katzenberg, Jeffrey

Corporate Director · Individual

0% 1 facilities 2010-06-22
Koch, Howard

Corporate Director · Individual

0% 3 facilities 2010-06-22
Kuehl, Michael

Corporate Officer · Individual

0% 1 facilities 2015-12-10
Kuehl, Michael

W-2 Managing Employee · Individual

0% 1 facilities 2015-12-10
Pierozzi, Lisa

Corporate Director · Individual

0% 1 facilities 2015-10-13
Roth, Jay

Corporate Director · Individual

0% 1 facilities 2010-06-22
Shaw, Nina

Corporate Director · Individual

0% 1 facilities 2018-03-09
Wasserman, Casey

Corporate Director · Individual

0% 1 facilities 2010-06-22
White, David

Corporate Director · Individual

0% 1 facilities 2012-06-22

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