01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-27 | 13 | 2026-03-27 | 4 |
| Cycle 2 | 2025-03-27 | 17 | 2025-03-27 | 1 |
| Cycle 3 | 2024-04-14 | 18 | 2024-04-14 | 0 |
CMS CCN 5550742026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Providence Holy Cross Med Ctr D/P Snf
11600A Indian Hills Road · Mission Hills, CA 91345 · Los Angeles County
Certified beds48CMS provider file
Recent citation rows53current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
53 rows in the current release
4 rows carry G–L scope/severity codes; 2 carry J–L. 14 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-27 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0694Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0732Severity B · pattern; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-27 · FIREK0918Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-04-172025-12-14 · FIREK0902Severity L · widespread immediate jeopardy
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
Correction field: Deficient, Provider has date of correction · 2026-02-02 · complaint2025-12-11 · HEALTHF0695Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-01-14 · complaint2025-03-27 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-04-262025-03-27 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-04-262025-03-27 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-04-262025-03-27 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2025-04-262025-03-27 · HEALTHF0641Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-04-262025-03-27 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-04-262025-03-27 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-04-2603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-04-14 | Fine | $97,923 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BLAIR, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- BUCK, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- CRAWFORD, ISIAAHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2012
- DUFAULT, KARINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- HEJNA, DIANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- HUGHES, PHYLLISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- KINGSTON, MARY BETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2022
- LYONS, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- MARKHAM, DONNAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- MURPHY, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- O'QUINN, MARVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- RIOJAS, ROGELIOIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- SORENSON, CHARLESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- SPRUNK, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- ANDERSON, DONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/20/2016
- ELMOUCHI, DARRYLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2025
- HOFFMAN, GREGORYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2020
- MARTIN, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/13/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours9.92per resident day
RN hours3.78per resident day
Weekend nurse hours9.11per resident day
Staff turnover25.0%CMS reported field
06 / LOCAL RECORDS
Open the Mission Hills ledger →