Nursing Care Index

Providence Holy Cross Med Ctr D/P Snf

Mission Hills, Los Angeles County, California · CCN 555074 · Non-profit (Corporation) · part of Providence Health & Services (8 facilities, chain average 3 stars)

CMS rates Providence Holy Cross Med Ctr D/P Snf 1 of 5 overall as of August 2026. 48 certified beds, 46 residents a day on average. 48 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $97,923.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★★★☆ 4 of 5
Quality measures★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay1 / — of 5

Staffing

Total nurse staffing9.92241 hours per resident per day
Registered nurses3.78029 hours per resident per day
Weekend total9.10709 hours per resident per day
Nursing staff turnover25% (registered nurses 26.8%)

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-27 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · tag F0694
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-17
2026-03-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-17
2026-03-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-27 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.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-27 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-27 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-27 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-27 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-27 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-27 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-27 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2026-04-17
2025-12-11
complaint survey
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2026-01-14
2025-03-27 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · tag F0835
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-04-26
2025-03-27 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-26
2025-03-27 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.
Quality of Life and Care Deficiencies · tag F0693
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-26
2025-03-27 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-26
2025-03-27 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-26
2025-03-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-26
2025-03-27 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-26
2025-03-27 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-26
2025-03-27 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-26
2025-03-27 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-26
2025-03-27 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-26
2025-03-27 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-26
2025-03-27 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-26
2025-03-27 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-26
2025-03-27 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-26
2025-03-27 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-26
2025-03-27 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2025-04-26
2024-04-14 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-05-06
2024-04-14 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-05-06
2024-04-14 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-06
2024-04-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-06
2024-04-14 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-06
2024-04-14 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.
Quality of Life and Care Deficiencies · tag F0693
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-06
2024-04-14 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.
Quality of Life and Care Deficiencies · tag F0700
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-06
2024-04-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-06
2024-04-14 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-06
2024-04-14 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-06
2024-04-14 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · tag F0694
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-06
2024-04-14 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-06
2024-04-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-06
2024-04-14 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-06
2024-04-14 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-06
2024-04-14 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · tag F0640
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-05-06
2024-04-14 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-05-06
2023-09-29
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-15

Fines and payment denials

DatePenaltyAmount
2024-04-14Fine$97,923

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Providence Health & Services - Washington
Organization
adp of the snf2026-04-21
Sani And Eshaghian Md Inc.
Organization
adp of the snf2026-04-21
Providence Health & Services
Organization
operational/managerial control2016-07-01
Providence Health & Services - Washington
Organization
operational/managerial control2012-08-08
Providence Health System-Southern California
Organization
operational/managerial control1966-01-01
Providence St. Joseph Health
Organization
operational/managerial control2016-07-01
Sani And Eshaghian Md Inc.
Organization
operational/managerial control2023-10-14
Anderson, Donald
Individual
adp of the snf2016-12-20
Elmouchi, Darryl
Individual
adp of the snf2025-04-01
Hoffman, Gregory
Individual
adp of the snf2020-10-01
Kell, Jason
Individual
adp of the snf2026-01-01
Klein, Bernard
Individual
adp of the snf2013-02-01
Martin, James
Individual
adp of the snf2023-01-13
Newsom, Anna
Individual
adp of the snf2022-05-13
Sani, Sasan
Individual
adp of the snf2023-10-14
Blair, Richard
Individual
corporate director2016-07-01
Buck, Linda
Individual
corporate director2025-01-01
Crawford, Isiaah
Individual
corporate director2012-02-01
Dufault, Karin
Individual
corporate director2025-01-01
Hejna, Diane
Individual
corporate director2016-07-01
Hughes, Phyllis
Individual
corporate director2016-07-01
Kingston, Mary Beth
Individual
corporate director2022-09-01
Lyons, Mary
Individual
corporate director2016-07-01
Markham, Donna
Individual
corporate director2024-01-01
Murphy, Michael
Individual
corporate director2020-01-01
O'Quinn, Marvin
Individual
corporate director2024-01-01
Riojas, Rogelio
Individual
corporate director2025-01-01
Sorenson, Charles
Individual
corporate director2019-01-01
Sprunk, Eric
Individual
corporate director2022-01-01
Anderson, Donald
Individual
corporate officer2016-12-20
Elmouchi, Darryl
Individual
corporate officer2025-04-01
Hoffman, Gregory
Individual
corporate officer2020-10-01
Martin, James
Individual
corporate officer2023-01-13
Newsom, Anna
Individual
corporate officer2022-05-13
Anderson, Donald
Individual
operational/managerial control2016-12-20
Blair, Richard
Individual
operational/managerial control2016-07-01
Buck, Linda
Individual
operational/managerial control2025-01-01
Crawford, Isiaah
Individual
operational/managerial control2012-02-01
Dufault, Karin
Individual
operational/managerial control2025-01-01
Elmouchi, Darryl
Individual
operational/managerial control2025-04-01
Hejna, Diane
Individual
operational/managerial control2016-07-01
Hoffman, Gregory
Individual
operational/managerial control2020-10-01
Hughes, Phyllis
Individual
operational/managerial control2016-07-01
Kell, Jason
Individual
operational/managerial control2026-01-01
Kingston, Mary Beth
Individual
operational/managerial control2022-09-01
Klein, Bernard
Individual
operational/managerial control2013-02-01
Lyons, Mary
Individual
operational/managerial control2016-07-01
Markham, Donna
Individual
operational/managerial control2024-01-01
Martin, James
Individual
operational/managerial control2023-01-13
Murphy, Michael
Individual
operational/managerial control2020-01-01
Newsom, Anna
Individual
operational/managerial control2022-05-13
O'Quinn, Marvin
Individual
operational/managerial control2024-01-01
Riojas, Rogelio
Individual
operational/managerial control2025-01-01
Sani, Sasan
Individual
operational/managerial control2023-10-14
Sorenson, Charles
Individual
operational/managerial control2019-01-01
Sprunk, Eric
Individual
operational/managerial control2022-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Los Angeles County.