North Hollywood, CA

Providence St Elizabeth Care Center

2-star overall rating with 1-star inspections with $59,441 in total fines with 29 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

10425 Magnolia Blvd, North Hollywood, CA

(818) 980-3872

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 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

52

Certified beds

Average residents

51

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Providence Health & Services

Operator or chain grouping

Approved since

1973-06-01

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

Staffing

Hours and turnover

RN hours / resident day

0.68

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.11

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.00

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

3.36

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.70

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.14

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

28%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,462

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

Performance score

49.67

Composite VBP score used to determine payment impact.

Payment multiplier

1.0037

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

10

Baseline 18.13% · Performance 16.81% · Measure score 10 · Achievement 10 · Improvement 9

Healthcare-associated infections

2.80

Baseline 5.96% · Performance 7.00% · Measure score 2.80 · Achievement 2.80 · Improvement 0

Total nurse turnover

5.18

Baseline 20.69% · Performance 42.50% · Measure score 5.18 · Achievement 5.18 · Improvement 0

Adjusted total nurse staffing

1.89

Baseline 3.81 hours · Performance 3.61 hours · Measure score 1.89 · Achievement 1.89 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.11%
10.72%
1.4 pts worse
No Different than the National Rate · Eligible stays 168 · Observed rate 10.71% · Lower 95% interval 8.74%
Discharge to community 58.35%
50.57%
7.8 pts better
Better than the National Rate · Eligible stays 162 · Observed rate 58.64% · Lower 95% interval 51.36%
Medicare spending per beneficiary 1.19
1.02
0.2 pts worse
Drug regimen review with follow-up 98.26%
95.27%
3 pts better
Numerator 113 · Denominator 115
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 115
Discharge self-care score 31.4%
53.69%
22.3 pts worse
Numerator 27 · Denominator 86
Discharge mobility score 53.49%
50.94%
2.6 pts better
Numerator 46 · Denominator 86
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 115 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7%
7.12%
0.1 pts better
No Different than the National Rate · Eligible stays 108 · Observed rate 5.56% · Lower 95% interval 3.65%
Staff COVID-19 vaccination coverage 17.31%
8.2%
9.1 pts better
Numerator 9 · Denominator 52
Staff flu vaccination coverage 61.29%
42%
19.3 pts better
Numerator 38 · Denominator 62
Discharge function score 51.16%
56.45%
5.3 pts worse
Numerator 44 · Denominator 86
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 22 · Denominator 22
Transfer of health information to patient 98.75%
96.28%
2.5 pts better
Numerator 79 · Denominator 80
Resident COVID-19 vaccinations up to date 50%
25.2%
24.8 pts better
Numerator 30 · Denominator 60

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.5
2.3
0.2 pts worse
1.9
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.4 · Expected 1.8 · 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 1.0 · Expected 1.5 · 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 0.0%
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 9.8%
6.8%
3 pts worse
11.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · 4Q avg 9.8%
Percentage of long-stay residents who lose too much weight 3.6%
4.1%
0.5 pts better
5.4%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 4.8% · 4Q avg 3.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.5%
13.7%
1.2 pts better
19.6%
7.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 12.0% · Q3 9.1% · 4Q avg 12.5%
Percentage of long-stay residents who received an antipsychotic medication 0.0%
14.2%
14.2 pts better
16.7%
16.7 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 8.9%
11.0%
2.1 pts better
16.3%
7.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.9%
10.7%
0.8 pts better
14.9%
5 pts better
Long Stay · 2024Q4-2025Q3 · Q2 9.5% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.6%
1.0%
6.6 pts worse
1.0%
6.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 5.5% · Q3 11.5% · 4Q avg 7.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.2%
1.2%
1 pts worse
1.7%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 1.1%
10.9%
9.8 pts better
19.8%
18.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 1.1%
Percentage of long-stay residents with pressure ulcers 3.9%
4.7%
0.8 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 7.6% · 4Q avg 3.9% · 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 8.9%
11.2%
2.3 pts better
12.0%
3.1 pts better
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 7.8% · Expected 9.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.3%
1.5%
1.2 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
93.2%
6.8 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.8%
23.2%
1.4 pts better
23.9%
2.1 pts better
Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 17.5% · Expected 19.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-02 · Fire 2026-01-02

30 health deficiencies

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

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-10-04 · Fire 2024-10-04

25 health deficiencies

Top issue: Resident Rights (8 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-10-15 · Fire 2023-10-15

29 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2026-01-02

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-01-23

E · Potential for more than minimal harm 2024-10-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-10-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-10-04

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-10-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-10-04

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 2024-10-18

D · Potential for more than minimal harm 2024-10-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-18

D · Potential for more than minimal harm 2023-10-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-15

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-11-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-12

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2026-01-30

E · Potential for more than minimal harm 2026-01-12

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 2026-01-30

E · Potential for more than minimal harm 2026-01-12

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 2026-01-30

D · Potential for more than minimal harm 2026-01-12

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-12

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-12

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 2026-01-30

K · Immediate jeopardy 2026-01-02

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-01-30

J · Immediate jeopardy 2026-01-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-01-30

E · Potential for more than minimal harm 2026-01-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-01-30

E · Potential for more than minimal harm 2026-01-02

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-30

E · Potential for more than minimal harm 2026-01-02

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 2026-01-30

E · Potential for more than minimal harm 2026-01-02

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 2026-01-30

E · Potential for more than minimal harm 2026-01-02

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2026-01-30

E · Potential for more than minimal harm 2026-01-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-30

E · Potential for more than minimal harm 2026-01-02

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-02

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-02

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 2026-01-30

D · Potential for more than minimal harm 2026-01-02

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-02

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 2026-01-30

D · Potential for more than minimal harm 2026-01-02

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-02

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-02

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-02

F838 · Administration Deficiencies

Health

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.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-02

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 2026-01-30

D · Potential for more than minimal harm 2026-01-02

F947 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2026-01-30

B · Minimal harm 2026-01-02

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2026-01-30

B · Minimal harm 2025-12-10

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2026-01-30

E · Potential for more than minimal harm 2025-12-04

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 2025-12-15

D · Potential for more than minimal harm 2025-11-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-18

J · Immediate jeopardy 2024-10-04

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 2024-10-30

J · Immediate jeopardy 2024-10-04

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-10-04

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 2024-10-30

E · Potential for more than minimal harm 2024-10-04

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-10-04

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-10-04

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 2024-10-30

E · Potential for more than minimal harm 2024-10-04

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-10-04

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 2024-10-30

E · Potential for more than minimal harm 2024-10-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-10-04

F577 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-10-04

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-10-04

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-10-04

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-10-04

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 2024-10-30

D · Potential for more than minimal harm 2024-10-04

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 2024-10-30

D · Potential for more than minimal harm 2024-10-04

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 2024-10-30

D · Potential for more than minimal harm 2024-10-04

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-10-04

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-10-30

B · Minimal harm 2024-10-04

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-10-30

B · Minimal harm 2024-10-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-30

B · Minimal harm 2024-10-04

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-10-30

B · Minimal harm 2024-10-04

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-08-26

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-26

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-26

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-01-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-24

E · Potential for more than minimal harm 2023-10-15

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 2023-11-07

E · Potential for more than minimal harm 2023-10-15

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 2023-11-07

E · Potential for more than minimal harm 2023-10-15

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 2023-11-07

E · Potential for more than minimal harm 2023-10-15

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-10-15

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 2023-11-07

D · Potential for more than minimal harm 2023-10-15

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-10-15

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 2023-11-07

D · Potential for more than minimal harm 2023-10-15

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-10-15

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-10-15

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 2023-11-07

D · Potential for more than minimal harm 2023-10-15

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 2023-11-07

D · Potential for more than minimal harm 2023-10-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-10-15

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 2023-11-07

D · Potential for more than minimal harm 2023-10-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-10-15

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-10-15

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2023-11-07

D · Potential for more than minimal harm 2023-10-15

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 2023-11-07

D · Potential for more than minimal harm 2023-10-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-07

B · Minimal harm 2023-10-15

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-11-07

B · Minimal harm 2023-09-25

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 2023-10-19

E · Potential for more than minimal harm 2023-08-21

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-09-15

D · Potential for more than minimal harm 2023-08-21

F838 · Administration Deficiencies

Health

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.

Corrected 2023-09-15

E · Potential for more than minimal harm 2023-07-18

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 2023-07-28

E · Potential for more than minimal harm 2023-07-18

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 2023-07-28

D · Potential for more than minimal harm 2023-06-08

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 2023-06-24

D · Potential for more than minimal harm 2023-06-08

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 2023-06-24

D · Potential for more than minimal harm 2023-03-13

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-07

Penalties and ownership

What sits behind the stars

$36,255 2025-11-25

Fine

Fine · fine $36,255

Fine

$23,186 2024-10-04

Fine

Fine · fine $23,186

Fine

Ownership

Providence Health System-Southern California

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2007-01-01
Anderson, Donald

Corporate Officer · Individual

0% 8 facilities 2016-12-20
Blair, Richard

Corporate Director · Individual

0% 7 facilities 2016-07-01
Crawford, Isiaah

Corporate Director · Individual

0% 7 facilities 2012-02-01
Gobrial, Mark

Contracted Managing Employee · Individual

0% 2 facilities 2022-12-01
Hejna, Diane

Corporate Director · Individual

0% 7 facilities 2016-07-01
Hoffman, Gregory

Corporate Officer · Individual

0% 8 facilities 2020-10-01
Hughes, Phyllis

Corporate Director · Individual

0% 7 facilities 2016-07-01
Jones, Calvin

W-2 Managing Employee · Individual

0% 3 facilities 2023-06-26
Kingston, Mary Beth

Corporate Director · Individual

0% 7 facilities 2022-09-01
Lyons, Mary

Corporate Director · Individual

0% 7 facilities 2016-07-01
Markham, Donna

Corporate Director · Individual

0% 7 facilities 2024-01-01
Martin, James

Corporate Officer · Individual

0% 13 facilities 2023-01-13
Murphy, Michael

Corporate Director · Individual

0% 7 facilities 2020-01-01
Newsom, Anna

Corporate Officer · Individual

0% 7 facilities 2022-05-13
O'quinn, Marvin

Corporate Director · Individual

0% 14 facilities 2024-01-01
Pacini, Carol

Corporate Director · Individual

0% 7 facilities 2021-01-01
Providence Health & Services - Washington

Operational/Managerial Control · Organization

0% 8 facilities 2015-01-01
Reely, Dianna

W-2 Managing Employee · Individual

0% 1 facilities 2022-11-01
Sikes, Nicole

W-2 Managing Employee · Individual

0% 2 facilities 2022-08-22
Sorenson, Charles

Corporate Director · Individual

0% 7 facilities 2019-01-01
Sprunk, Eric

Corporate Director · Individual

0% 7 facilities 2022-01-01
Warren, Terri

W-2 Managing Employee · Individual

0% 2 facilities 2022-11-01
Westlund, Malisa

W-2 Managing Employee · Individual

0% 2 facilities 2020-03-06
Wexler, Erik

Corporate Officer · Individual

0% 7 facilities 2023-01-01

Nearby options

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Vineland Post Acute

North Hollywood, CA

3-star overall rating with 3-star inspections with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
3 / 5
Fines
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#2

Valley Vista Nursing And Transitional Care LLC

North Hollywood, CA

1-star overall rating with 1-star inspections with abuse icon flag with $35,997 in total fines with 57 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$35,997
#3

Imperial Care Center

Studio City, CA

1-star overall rating with 1-star inspections with Special Focus status with $212,749 in total fines with 36 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$212,749

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