Providence Holy Cross Med Ctr D/P SNF
Nursing Home · Mission Hills, CA
CMS certification number555074
Contact & location
11600A Indian Hills RoadMission Hills, CA 91345
Los Angeles County
- Phone
- (818) 898-4630
- ZIP code
- 91345 – all care providers
Facility details
- Certified beds
- 48
- Residents per day
- 45.6 (95% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Providence Health System - Southern California
- Chain
- Providence Health & Services (8 facilities, avg 3.0★)
- Medicare certified since
- October 1, 1978
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 9.92 (state 4.52 · U.S. 3.86)
- Registered nurses (RN)
- 3.78 (state 0.67 · U.S. 0.69)
- Licensed practical nurses
- 1.14 (state 1.20 · U.S. 0.86)
- Nurse aides
- 5.01 (state 2.65 · U.S. 2.32)
- Weekend total
- 9.11 (state 4.09 · U.S. 3.42)
- Nursing staff turnover
- 25.0 (state 36.7 · U.S. 45.8)%
- RN turnover
- 26.8 (state 38.1 · U.S. 42.9)%
Inspections
- Last standard inspection
- March 27, 2026
- Health deficiencies (last cycle)
- 13.0 (state 15.7 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 48 health · 5 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-27 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-27 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-27 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-27 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-27 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-03-27 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2026-04-17 |
| 2025-12-11 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2026-01-14 |
| 2025-03-27 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0693 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-27 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 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. F0580 · Resident Rights Deficiencies |
G Actual harm |
Corrected 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. F0690 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-05-06 |
| 2024-04-14 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-04-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0693 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-04-14 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 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. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-04-14 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-04-14 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-04-14 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-04-14 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-05-06 |
| 2024-04-14 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-05-06 |
| 2023-09-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $97,923 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-04-14 | Fine | $97,923 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Anderson, Donald (individual) | Administrator · NOT APPLICABLE | |
| Elmouchi, Darryl (individual) | Administrator · NOT APPLICABLE | |
| Hoffman, Gregory (individual) | Administrator · NOT APPLICABLE | |
| Kell, Jason (individual) | Administrator · NOT APPLICABLE | |
| Klein, Bernard (individual) | Administrator · NOT APPLICABLE | |
| Martin, James (individual) | Administrator · NOT APPLICABLE | |
| Newsom, Anna (individual) | Administrator · NOT APPLICABLE | |
| Providence Health & Services - Washington (organization) | Administrator · NOT APPLICABLE | |
| Sani and Eshaghian MD INC (organization) | Administrator · NOT APPLICABLE | |
| Sani, Sasan (individual) | Administrator · NOT APPLICABLE | |
| Blair, Richard (individual) | Corporate Director · NOT APPLICABLE | |
| Buck, Linda (individual) | Corporate Director · NOT APPLICABLE | |
| Crawford, Isiaah (individual) | Corporate Director · NOT APPLICABLE | |
| Dufault, Karin (individual) | Corporate Director · NOT APPLICABLE | |
| Hejna, Diane (individual) | Corporate Director · NOT APPLICABLE | |
| Hughes, Phyllis (individual) | Corporate Director · NOT APPLICABLE | |
| Kingston, Mary Beth (individual) | Corporate Director · NOT APPLICABLE | |
| Lyons, Mary (individual) | Corporate Director · NOT APPLICABLE | |
| Markham, Donna (individual) | Corporate Director · NOT APPLICABLE | |
| Murphy, Michael (individual) | Corporate Director · NOT APPLICABLE | |
| O'quinn, Marvin (individual) | Corporate Director · NOT APPLICABLE | |
| Riojas, Rogelio (individual) | Corporate Director · NOT APPLICABLE | |
| Sorenson, Charles (individual) | Corporate Director · NOT APPLICABLE | |
| Sprunk, Eric (individual) | Corporate Director · NOT APPLICABLE | |
| Anderson, Donald (individual) | Corporate Officer · NOT APPLICABLE | |
| Elmouchi, Darryl (individual) | Corporate Officer · NOT APPLICABLE | |
| Hoffman, Gregory (individual) | Corporate Officer · NOT APPLICABLE | |
| Martin, James (individual) | Corporate Officer · NOT APPLICABLE | |
| Newsom, Anna (individual) | Corporate Officer · NOT APPLICABLE | |
| Anderson, Donald (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Blair, Richard (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Buck, Linda (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Crawford, Isiaah (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Dufault, Karin (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Elmouchi, Darryl (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hejna, Diane (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hoffman, Gregory (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hughes, Phyllis (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kell, Jason (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kingston, Mary Beth (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Klein, Bernard (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lyons, Mary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Markham, Donna (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Martin, James (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Murphy, Michael (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Newsom, Anna (individual) | Operational/managerial Control · NOT APPLICABLE | |
| O'quinn, Marvin (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Providence Health & Services (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Providence Health & Services - Washington (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Providence Health System-Southern California (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Providence ST. Joseph Health (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Riojas, Rogelio (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sani and Eshaghian MD INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Sani, Sasan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sorenson, Charles (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sprunk, Eric (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Providence Holy Cross Med Ctr D/P SNF?
Providence Holy Cross Med Ctr D/P SNF has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.
How many beds does Providence Holy Cross Med Ctr D/P SNF have?
It has 48 certified beds and cares for about 46 residents per day.
Has Providence Holy Cross Med Ctr D/P SNF been fined?
Yes. CMS lists 1 penalty totaling $97,923 in the last three years.
Who owns Providence Holy Cross Med Ctr D/P SNF?
It is part of Providence Health & Services and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Providence Holy Cross Med Ctr D/P SNF?
(818) 898-4630. The facility is located at 11600A Indian Hills Road, Mission Hills, CA 91345.
Other nursing homes in Mission Hills
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Ararat Nursing Facility
Nursing Home · Mission Hills, CA · 254 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.