Providence Holy Cross Med Ctr D/P SNF
11600a Indian Hills Road, Mission Hills, CA 91345 · Los Angeles County · 48 certified beds · avg 46 residents/day · certified since Oct 1, 1978
Part of chain: PROVIDENCE HEALTH & SERVICES (8 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Dec 11, 2025 · F-0695 · triggered by a complaint
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 14, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 14, 2024 · F-0580
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 6, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 14, 2024 · F-0690
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 6, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (48)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 27, 2026 | E · Potential for harm, repeated | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Mar 27, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 27, 2026 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Dec 11, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Mar 27, 2025 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 27, 2025 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 14, 2024 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Apr 14, 2024 | ▲ G · Actual harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 14, 2024 | E · Potential for harm, repeated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Apr 14, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 14, 2024 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Apr 14, 2024 | E · Potential for harm, repeated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Apr 14, 2024 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Apr 14, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 14, 2024 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Apr 14, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 14, 2024 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Apr 14, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 14, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 14, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 14, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 14, 2024 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Apr 14, 2024 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (17 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 17 | 2 | G ▲ |
| 2025 | 18 | 1 | K ▲ |
| 2026 | 12 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $97,923.
| Date | Type | Amount / length |
|---|---|---|
| Apr 14, 2024 | Fine | $97,923 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.11 | 4.31 | 3.95 | bottom 49% in California; top 35% in the U.S. |
| Registered Nurse hours | 1.56 | 0.61 | 0.69 | top 3% in California; top 4% in the U.S. |
| Weekend total nurse staffing | 3.77 | 3.90 | 3.50 | top 48% in California; top 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 3.42 | 0.51 | 0.48 | top 1% in California; top 1% in the U.S. |
| Total nursing staff turnover (%) | 25.0 | 36.7 | 45.8 | top 17% in California; top 7% in the U.S. |
| RN turnover (%) | 26.8 | 38.1 | 42.9 | top 31% in California; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 9.92, RN 3.78, weekend 9.11. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Anderson, Donald | Individual | Corporate Officer | NOT APPLICABLE | 12/20/2016 |
| Anderson, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/20/2016 |
| Anderson, Donald | Individual | ADP of the SNF | NOT APPLICABLE | 12/20/2016 |
| Blair, Richard | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
| Blair, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| Buck, Linda | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Buck, Linda | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Crawford, Isiaah | Individual | Corporate Director | NOT APPLICABLE | 02/01/2012 |
| Crawford, Isiaah | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2012 |
| Dufault, Karin | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Dufault, Karin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Elmouchi, Darryl | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2025 |
| Elmouchi, Darryl | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Elmouchi, Darryl | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Hejna, Diane | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
| Hejna, Diane | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| Hoffman, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2020 |
| Hoffman, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2020 |
| Hoffman, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2020 |
| Hughes, Phyllis | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Ararat Nursing Facility | 0.1 mi | Mission Hills, CA | ★☆☆☆☆ | 1/5 | abuseSFF |
| Granada Hills Convalescent | 1.6 mi | Granada Hills, CA | ★★★★★ | 3/5 | |
| The Grove Post-Acute Care Center | 1.6 mi | Sylmar, CA | ★★☆☆☆ | 1/5 | |
| Rinaldi Convalescent Hospital | 1.7 mi | Granada Hills, CA | ★☆☆☆☆ | 1/5 | |
| Astoria Healthcare Center | 2.4 mi | Sylmar, CA | ★☆☆☆☆ | 1/5 | SFF |
| The Rehabilitation Center of North Hills | 2.5 mi | North Hills, CA | ★☆☆☆☆ | 1/5 | |
| Casitas Care Center | 2.6 mi | Granada Hills, CA | ★★☆☆☆ | 2/5 | |
| Maclay Healthcare Center | 2.6 mi | Sylmar, CA | ★★☆☆☆ | 1/5 | abuseSFF |
| Panorama Gardens Nursing and Rehabilitation Center | 2.6 mi | Panorama City, CA | ★★★☆☆ | 2/5 | |
| Mountain View Conv Hosp | 2.8 mi | Sylmar, CA | ★★☆☆☆ | 1/5 | |
| Magnolia Gardens Convalescent Hospital | 3.5 mi | Granada Hills, CA | ★☆☆☆☆ | 1/5 | |
| The Gardens Healthcare Center | 3.8 mi | Northridge, CA | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 555074.