Federal inspection record · CMS data as of October 1, 2026

Pacifica Hospital Of The Valley Dp SNF

9449 San Fernando Road, Sun Valley, CA · (818) 767-3310

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
98
Residents per day
58
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 31, 1985

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change (already 1)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Pacifica Hospital Of The Valley Dp SNF carries 187.75 inspection points. That is fewer than 11% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 187.75 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

50 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 1 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 23 4 pts
E 21 8 pts
F 5 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. L

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    June 16, 2024 · Complaint inspection · Resident Rights · F584 · Corrected June 23, 2024

Everything else, by area of care

Quality of Life and Care12E
  1. E

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

    February 12, 2026 · Standard · F689 · Corrected March 17, 2026

  2. E

    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.

    February 12, 2026 · Standard · F700 · Corrected March 17, 2026

  3. D

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

    February 12, 2026 · Standard · F684 · Corrected March 17, 2026

  4. D

    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.

    February 12, 2026 · Standard · F688 · Corrected March 17, 2026

  5. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    February 12, 2026 · Standard · F690 · Corrected March 17, 2026

  6. E

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

    January 30, 2025 · Standard · F689 · Corrected February 27, 2025

  7. E

    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.

    January 30, 2025 · Standard · F693 · Corrected February 27, 2025

  8. E

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

    January 30, 2025 · Standard · F745 · Corrected February 27, 2025

  9. D

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

    January 30, 2025 · Standard · F684 · Corrected February 27, 2025

  10. D

    Provide safe, appropriate pain management for a resident who requires such services.

    January 30, 2025 · Standard · F697 · Corrected February 27, 2025

  11. E

    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.

    February 8, 2024 · Standard · F688 · Corrected March 15, 2024

  12. D

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

    February 8, 2024 · Standard · F686 · Corrected March 15, 2024

Resident Rights8E
  1. E

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

    February 12, 2026 · Standard · F550 · Corrected March 17, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    February 12, 2026 · Standard · F558 · Corrected March 17, 2026

  3. D

    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.

    February 12, 2026 · Standard · F578 · Corrected March 17, 2026

  4. D

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

    July 1, 2025 · Complaint · F550 · Corrected August 18, 2025

  5. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    February 20, 2025 · Complaint · F553 · Corrected March 27, 2025

  6. D

    Reasonably accommodate the needs and preferences of each resident.

    January 30, 2025 · Standard · F558 · Corrected February 27, 2025

  7. D

    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.

    January 30, 2025 · Standard · F578 · Corrected February 27, 2025

  8. E

    Reasonably accommodate the needs and preferences of each resident.

    February 8, 2024 · Standard · F558 · Corrected March 15, 2024

Pharmacy Service8E
  1. E

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

    February 12, 2026 · Standard · F755 · Corrected March 17, 2026

  2. E

    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.

    February 12, 2026 · Standard · F761 · Corrected March 17, 2026

  3. E

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

    January 30, 2025 · Standard · F755 · Corrected February 27, 2025

  4. E

    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.

    January 30, 2025 · Standard · F761 · Corrected February 27, 2025

  5. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    January 30, 2025 · Standard · F756 · Corrected February 27, 2025

  6. D

    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.

    January 30, 2025 · Standard · F758 · Corrected February 27, 2025

  7. E

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

    February 8, 2024 · Standard · F755 · Corrected March 15, 2024

  8. E

    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.

    February 8, 2024 · Standard · F758 · Corrected March 15, 2024

Resident Assessment and Care Planning8E
  1. D

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

    February 12, 2026 · Standard · F658 · Corrected March 17, 2026

  2. D

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

    February 12, 2026 · Standard · F842 · Corrected March 17, 2026

  3. E

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

    January 30, 2025 · Standard · F656 · Corrected February 27, 2025

  4. E

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

    January 30, 2025 · Standard · F657 · Corrected February 27, 2025

  5. D

    Plan the resident's discharge to meet the resident's goals and needs.

    January 30, 2025 · Standard · F660 · Corrected February 27, 2025

  6. E

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

    February 8, 2024 · Standard · F658 · Corrected March 15, 2024

  7. D

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

    February 8, 2024 · Standard · F656 · Corrected March 15, 2024

  8. D

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

    February 8, 2024 · Standard · F657 · Corrected March 15, 2024

Administration4F
  1. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    February 12, 2026 · Standard · F838 · Corrected March 17, 2026

  2. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    February 12, 2026 · Standard · F851 · Corrected March 17, 2026

  3. F

    Have a plan that describes the process for conducting QAPI and QAA activities.

    February 12, 2026 · Standard · F865 · Corrected March 17, 2026

  4. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    January 30, 2025 · Standard · F851 · Corrected February 27, 2025

Infection Control4F
  1. F

    Provide and implement an infection prevention and control program.

    February 12, 2026 · Standard · F880 · Corrected March 17, 2026

  2. D

    Implement a program that monitors antibiotic use.

    February 12, 2026 · Standard · F881 · Corrected March 17, 2026

  3. E

    Provide and implement an infection prevention and control program.

    January 30, 2025 · Standard · F880 · Corrected February 27, 2025

  4. D

    Provide and implement an infection prevention and control program.

    February 8, 2024 · Standard · F880 · Corrected March 15, 2024

Nutrition and Dietary3E
  1. E

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

    February 12, 2026 · Standard · F812 · Corrected March 17, 2026

  2. E

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

    January 30, 2025 · Standard · F812 · Corrected February 27, 2025

  3. D

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

    February 8, 2024 · Standard · F812 · Corrected March 15, 2024

Nursing and Physician Services2E
  1. D

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    February 12, 2026 · Standard · F947 · Corrected March 17, 2026

  2. E

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    January 30, 2025 · Standard · F711 · Corrected February 27, 2025

Inspection history

  1. 2026-02-12

    19 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  2. 2025-01-30

    20 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2024-02-08

    11 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 6 h 34 min of nursing staff time a day, 1 h 34 min of it from a registered nurse.

This home

6 h 34 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$60,373 in federal fines on record over the past three years.

DatePenaltyAmount
2024-06-16Fine$60,373

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2 pts worse96.7%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better98.5%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better1.2%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms7.6 pts better0.0%7.6%13.5%
Percentage of long-stay residents who lose too much weight1.6 pts better2.5%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5 pts better8.7%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.2 pts better9.1%12.3%15.4%
Percentage of long-stay residents who were physically restrained7.6 pts worse7.9%0.3%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased7.2 pts better3.0%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.8 pts worse3.5%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection2.6 pts worse3.8%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts better3.0%9.8%18.3%
Percentage of long-stay residents with pressure ulcers12 pts worse16.3%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine48.9 pts worse45.7%94.6%82.3%

·

Who owns and runs it

7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Busch, KathyCorporate Director · Individual0%1 facilities
Busch, KathyOperational/Managerial Control · Individual0%1 facilities
Martin, DeborahCorporate Officer · Individual0%1 facilities
Mayes, PreciousCorporate Officer · Individual0%1 facilities
Pacifica Of The Valley Corporation5% Or Greater Direct Ownership Interest · Organization0%1 facilities
Tuft, Paul5% Or Greater Direct Ownership Interest · Individual0%1 facilities
Tuft, PaulCorporate Director · Individual0%1 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems5F
  1. F

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

    January 30, 2025 · K918 · Corrected February 28, 2025

  2. D

    Ensure proper usage of power strips and extension cords.

    January 30, 2025 · K920 · Corrected February 28, 2025

  3. F

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

    February 8, 2024 · K918 · Corrected March 6, 2024

  4. E

    Have power receptacles that are properly grounded.

    February 8, 2024 · K912 · Corrected March 6, 2024

  5. E

    Ensure proper usage of power strips and extension cords.

    February 8, 2024 · K920 · Corrected March 6, 2024

Miscellaneous3E
  1. E

    Have simulated fire drills held at unexpected times.

    February 12, 2026 · K712 · Corrected February 11, 2026

  2. D

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

    February 12, 2026 · K761 · Corrected February 11, 2026

  3. D

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

    February 8, 2024 · K741 · Corrected March 6, 2024

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    February 12, 2026 · K511 · Corrected February 11, 2026

Emergency Preparedness1F
  1. F

    Conduct testing and exercise requirements.

    January 30, 2025 · E39 · Corrected February 28, 2025

Smoke1D
  1. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 30, 2025 · K345 · Corrected February 28, 2025

·

Other homes nearby

  1. All Saints Healthcare Subacute

    North Hollywood, CA

    Worst citation, 3 yrs
    K
    Nursing / resident / day
    10 h 27 min
    Fines
    $99,938
  2. Worst citation, 3 yrs
    F
    Nursing / resident / day
    10 h 30 min
    Fines
    $0
  3. Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 52 min
    Fines
    $0