01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-30 | 10 | 2026-01-30 | 1 |
| Cycle 2 | 2024-12-06 | 8 | 2024-12-06 | 0 |
| Cycle 3 | 2023-12-14 | 13 | 2023-12-14 | 3 |
CMS CCN 5558482026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Providence Little Comp Of Mary Subacute Care Ctr
1322 West Sixth Street · San Pedro, CA 90732 · Los Angeles County
Certified beds125CMS provider file
Recent citation rows35current 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
35 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-30 · 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 · 2026-02-232026-01-30 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2026-02-232026-01-30 · 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 · 2026-02-232026-01-30 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-02-232026-01-30 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-02-232026-01-30 · HEALTHF0740Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2026-02-232026-01-30 · 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 · 2026-02-232026-01-30 · HEALTHF0814Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2026-02-232026-01-30 · 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 · 2026-02-232026-01-30 · 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 · 2026-02-232026-01-30 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-02-172025-01-16 · 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 no plan of correction · complaint2024-12-06 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-12-272024-12-06 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-12-272024-12-06 · HEALTHF0803Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-12-272024-12-06 · 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 · 2024-12-272024-12-06 · HEALTHF0814Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2024-12-272024-12-06 · 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 · 2024-12-272024-12-06 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2024-12-272023-12-14 · FIREE0030Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2024-01-102023-12-14 · 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 · 2024-01-122023-12-14 · HEALTHF0604Severity K · pattern of immediate jeopardy
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 · 2024-01-122023-12-14 · HEALTHF0640Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2024-01-122023-12-14 · 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 · 2024-01-1203 / 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 |
|---|---|---|---|
| 2023-12-14 | Fine | $11,170 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIAOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/26/2007
- PROVIDENCE HEALTH & SERVICESOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2016
- PROVIDENCE HEALTH & SERVICES - WASHINGTONOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/30/2008
- PROVIDENCE ST. JOSEPH HEALTHOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2016
- BLAIR, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- BUCK, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- CRAWFORD, ISIAAHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2012
- 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
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 hours8.67per resident day
RN hours2.03per resident day
Weekend nurse hours8.11per resident day
Staff turnover25.2%CMS reported field
06 / LOCAL RECORDS
Open the San Pedro ledger →