Providence Little Comp Of Mary Subacute Care Ctr
San Pedro, Los Angeles County, California · CCN 555848 · Non-profit (Corporation) · part of Providence Health & Services (8 facilities, chain average 3 stars)
CMS rates Providence Little Comp Of Mary Subacute Care Ctr 4 of 5 overall as of August 2026. 125 certified beds, 98 residents a day on average. 31 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $11,170.
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 | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / — of 5 |
Staffing
| Total nurse staffing | 8.67082 hours per resident per day |
|---|---|
| Registered nurses | 2.02865 hours per resident per day |
| Weekend total | 8.11013 hours per resident per day |
| Nursing staff turnover | 25.2% (registered nurses 19.6%) |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-23 |
| 2026-01-30 | 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 2026-02-23 |
| 2026-01-30 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-23 |
| 2026-01-30 | 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 2026-02-23 |
| 2026-01-30 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-23 |
| 2026-01-30 | 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 2026-02-23 |
| 2026-01-30 | 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 2026-02-23 |
| 2026-01-30 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-23 |
| 2026-01-30 | 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 2026-02-23 |
| 2026-01-30 | 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 2026-02-23 |
| 2025-01-16 complaint survey |
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 no plan of correction |
| 2024-12-06 | 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 2024-12-27 |
| 2024-12-06 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-27 |
| 2024-12-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-27 |
| 2024-12-06 | 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 2024-12-27 |
| 2024-12-06 | 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. Nutrition and Dietary Deficiencies · tag F0803 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-27 |
| 2024-12-06 | 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 2024-12-27 |
| 2024-12-06 | 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 2024-12-27 |
| 2023-12-14 | 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 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-01-12 |
| 2023-12-14 | 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 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-01-12 |
| 2023-12-14 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-12 |
| 2023-12-14 | 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 2024-01-12 |
| 2023-12-14 | 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 2024-01-12 |
| 2023-12-14 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-12 |
| 2023-12-14 | 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 2024-01-12 |
| 2023-12-14 | 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 2024-01-12 |
| 2023-12-14 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-12 |
| 2023-12-14 | 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 2024-01-12 |
| 2023-12-14 | 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. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-12 |
| 2023-12-14 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-12 |
| 2023-11-03 complaint survey |
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 2024-03-07 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-14 | Fine | $11,170 |
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Providence Health & Services Organization | adp of the snf | — | 2025-11-14 |
| Providence Health & Services - Washington Organization | adp of the snf | — | 2025-11-14 |
| Providence Health System-Southern California Organization | adp of the snf | — | 2007-01-26 |
| Providence St. Joseph Health Organization | adp of the snf | — | 2025-11-14 |
| Providence Health System-Southern California Organization | direct ownership interest | — | 2007-01-26 |
| Providence Health & Services Organization | indirect ownership interest | — | 2016-07-01 |
| Providence Health & Services - Washington Organization | indirect ownership interest | — | 2008-09-30 |
| Providence St. Joseph Health Organization | indirect ownership interest | — | 2016-07-01 |
| Providence Health System-Southern California Organization | operational/managerial control | — | 2007-01-26 |
| Anderson, Donald Individual | adp of the snf | — | 2016-12-20 |
| Elmouchi, Darryl Individual | adp of the snf | — | 2025-04-01 |
| Ghatan, Bijan Individual | adp of the snf | — | 2014-04-01 |
| Hoffman, Gregory Individual | adp of the snf | — | 2020-10-01 |
| Kell, Jason Individual | adp of the snf | — | 2026-01-01 |
| Martin, James Individual | adp of the snf | — | 2023-01-13 |
| Newsom, Anna Individual | adp of the snf | — | 2022-05-13 |
| Ricks, Michael Individual | adp of the snf | — | 2023-11-05 |
| Blair, Richard Individual | corporate director | — | 2016-07-01 |
| Buck, Linda Individual | corporate director | — | 2025-01-01 |
| Crawford, Isiaah Individual | corporate director | — | 2012-01-01 |
| Dufault, Karin Individual | corporate director | — | 2025-01-01 |
| Hejna, Diane Individual | corporate director | — | 2016-07-01 |
| Hughes, Phyllis Individual | corporate director | — | 2016-07-01 |
| Kingston, Mary Beth Individual | corporate director | — | 2022-09-01 |
| Lyons, Mary Individual | corporate director | — | 2016-07-01 |
| Markham, Donna Individual | corporate director | — | 2024-01-01 |
| Murphy, Michael Individual | corporate director | — | 2020-01-01 |
| O'Quinn, Marvin Individual | corporate director | — | 2024-01-01 |
| Riojas, Rogelio Individual | corporate director | — | 2025-01-01 |
| Sorenson, Charles Individual | corporate director | — | 2019-01-01 |
| Sprunk, Eric Individual | corporate director | — | 2022-01-01 |
| Anderson, Donald Individual | corporate officer | — | 2016-12-20 |
| Elmouchi, Darryl Individual | corporate officer | — | 2025-04-01 |
| Hoffman, Gregory Individual | corporate officer | — | 2020-10-01 |
| Martin, James Individual | corporate officer | — | 2023-01-13 |
| Newsom, Anna Individual | corporate officer | — | 2022-05-13 |
| Anderson, Donald Individual | operational/managerial control | — | 2016-12-20 |
| Blair, Richard Individual | operational/managerial control | — | 2016-07-01 |
| Buck, Linda Individual | operational/managerial control | — | 2025-01-01 |
| Crawford, Isiaah Individual | operational/managerial control | — | 2012-01-01 |
| Dufault, Karin Individual | operational/managerial control | — | 2025-01-01 |
| Elmouchi, Darryl Individual | operational/managerial control | — | 2025-04-01 |
| Ghatan, Bijan Individual | operational/managerial control | — | 2014-04-01 |
| Hejna, Diane Individual | operational/managerial control | — | 2016-07-01 |
| Hoffman, Gregory Individual | operational/managerial control | — | 2020-10-01 |
| Hughes, Phyllis Individual | operational/managerial control | — | 2014-01-01 |
| Kell, Jason Individual | operational/managerial control | — | 2026-01-01 |
| Kingston, Mary Beth Individual | operational/managerial control | — | 2022-09-01 |
| Lyons, Mary Individual | operational/managerial control | — | 2016-07-01 |
| Markham, Donna Individual | operational/managerial control | — | 2024-01-01 |
| Martin, James Individual | operational/managerial control | — | 2023-01-13 |
| Murphy, Michael Individual | operational/managerial control | — | 2020-01-01 |
| Newsom, Anna Individual | operational/managerial control | — | 2022-05-13 |
| O'Quinn, Marvin Individual | operational/managerial control | — | 2024-01-01 |
| Ricks, Michael Individual | operational/managerial control | — | 2023-11-05 |
| Riojas, Rogelio Individual | operational/managerial control | — | 2025-01-01 |
| Sorenson, Charles Individual | operational/managerial control | — | 2019-01-01 |
| Sprunk, Eric Individual | operational/managerial control | — | 2022-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Providence Little Comp Of Mary Subacute Care Ctr.
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.