18 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Mission Hills, CA
1-star overall rating with 1-star inspections with $107,673 in total fines with 18 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
11600a Indian Hills Road, Mission Hills, Ca 91345, Mission Hills, CA
(818) 898-4630
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
48
Certified beds
Average residents
43
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Providence Health & Services
Operator or chain grouping
Approved since
1978-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 2 overall / 2 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
3.85
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
4.77
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
9.68
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
4.92
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
9.07
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
3.60
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
1.55
CMS adjusted RN staffing hours
Adjusted total hours
3.90
CMS adjusted total nurse staffing hours
Case-mix index
3.39
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
804
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.50
Composite VBP score used to determine payment impact.
Payment multiplier
1.0182
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
9.04
Performance 26.74% · Measure score 9.04 · Achievement 9.04 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.66
Baseline 4.06 hours · Performance 4.12 hours · Measure score 3.66 · Achievement 3.66 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 25.69% |
8.2%
17.5 pts better
|
Numerator 28 · Denominator 109 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
98.5%
3.1 pts worse
|
93.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 93.3% · Q3 95.3% · Q4 100.0% · 4Q avg 95.4% |
| 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 | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 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 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 | 1.2% |
4.1%
2.9 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 2.4% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.2% |
13.7%
9.5 pts worse
|
19.6%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 24.4% · Q3 20.0% · Q4 26.8% · 4Q avg 23.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.4% |
14.2%
0.8 pts better
|
16.7%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 9.1% · Q3 12.5% · Q4 16.1% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.7% |
0.4%
1.3 pts worse
|
0.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.2% · Q3 2.3% · Q4 0.0% · 4Q avg 1.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.0% |
10.7%
14.3 pts worse
|
14.9%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.0% |
1.0%
3 pts worse
|
1.0%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.7% · Q3 5.2% · Q4 5.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
1.2%
1.1 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 0.0% |
10.9%
10.9 pts better
|
19.8%
19.8 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 with pressure ulcers | 15.9% |
4.7%
11.2 pts worse
|
5.1%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 17.7% · Q3 14.9% · Q4 15.2% · 4Q avg 15.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 66.7% |
94.0%
27.3 pts worse
|
81.7%
15 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 66.7% |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (6 deficiencies)
12 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
Corrected 2026-02-09
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-13
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2023-04-17
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2023-04-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-17
Fire Safety
Ensure gas cylinders are properly stored.
Corrected 2023-04-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-04-17
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-04-17
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-04-17
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-04-17
Inspection history
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-21
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-04-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-26
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 2025-04-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-26
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-26
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-26
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-04-26
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-26
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-04-26
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 2025-04-26
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-26
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 2025-04-26
Health
Implement a program that monitors antibiotic use.
Corrected 2025-04-26
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-04-26
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-26
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-06
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 2024-05-06
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-05-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-06
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 2024-05-06
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 2024-05-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-06
Health
Implement a program that monitors antibiotic use.
Corrected 2024-05-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-06
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-05-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-06
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 2024-05-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-06
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-05-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-05-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-15
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-04-20
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 2023-04-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-20
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 2023-04-20
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 2023-04-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-20
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-04-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-20
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 2023-04-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-04-20
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-04-20
Penalties and ownership
Fine · fine $97,923
Fine
Fine · fine $9,750
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
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2-star overall rating with 1-star inspections with $17,345 in total fines with 33 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Mission Hills, CA
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Sylmar, CA
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $297,315 in total fines with 46 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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