Starfile / California

ALL SAINTS HEALTHCARE SUBACUTE

11810 SATICOY STREET, NORTH HOLLYWOOD, CA 91605 · CCN 056407

SFF Candidate

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$160,262

Number of fines

2

Number of penalties

2

Payment denials

0

Inspection citations (91)3 immediate jeopardy

1. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2026-01-29 · Health

   Potential for more than minimal harm

2. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2026-01-29 · Health

   Potential for more than minimal harm

3. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-08 · Health · corrected 2026-01-23

   Potential for more than minimal harm

4. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-08 · Health · corrected 2026-01-23

   Potential for more than minimal harm

5. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-08 · Health · corrected 2025-12-22

   Immediate jeopardy

6. DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-11-08 · Health · corrected 2025-12-22

   Potential for more than minimal harm

7. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-08 · Health · corrected 2025-12-22

   Potential for more than minimal harm

8. EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-11-08 · Health · corrected 2025-12-22

   Potential for more than minimal harm

9. EF0880Provide and implement an infection prevention and control program.2025-11-08 · Health · corrected 2026-01-16

   Potential for more than minimal harm

10. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-17 · Health · corrected 2025-08-08

    Potential for more than minimal harm

11. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-15 · Health · corrected 2025-06-07

    Potential for more than minimal harm

12. DF0659Provide care by qualified persons according to each resident's written plan of care.2025-05-15 · Health · corrected 2025-06-07

    Potential for more than minimal harm

13. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-02 · Health · corrected 2025-05-18

    Potential for more than minimal harm

14. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-29 · Health · corrected 2025-05-14

    Potential for more than minimal harm

15. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-12 · Health · corrected 2025-01-05

    Potential for more than minimal harm

16. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-08 · Health · corrected 2024-11-30

    Potential for more than minimal harm

17. EF0760Ensure that residents are free from significant medication errors.2024-11-08 · Health · corrected 2024-11-30

    Potential for more than minimal harm

18. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-08 · Health · corrected 2024-11-30

    Potential for more than minimal harm

19. EF0880Provide and implement an infection prevention and control program.2024-11-08 · Health · corrected 2024-11-30

    Potential for more than minimal harm

20. EF0558Reasonably accommodate the needs and preferences of each resident.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

21. EF0583Keep residents' personal and medical records private and confidential.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

22. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

23. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

24. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

25. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

26. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

27. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

28. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

29. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

30. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

31. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

32. EF0693Ensure 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.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

33. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

34. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

35. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

36. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

37. EF0758Implement 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.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

38. EF0759Ensure medication error rates are not 5 percent or greater.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

39. EF0760Ensure that residents are free from significant medication errors.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

40. EF0761Ensure 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.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

41. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

42. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

43. EF0880Provide and implement an infection prevention and control program.2024-10-25 · Health · corrected 2024-11-21

    Potential for more than minimal harm

44. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-19 · Health · corrected 2024-07-05

    Potential for more than minimal harm

45. DF0880Provide and implement an infection prevention and control program.2024-06-19 · Health · corrected 2024-07-05

    Potential for more than minimal harm

46. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

47. EF0558Reasonably accommodate the needs and preferences of each resident.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

48. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

49. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

50. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

51. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

52. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

53. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

54. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

55. EF0693Ensure 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.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

56. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

57. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

58. EF0700Try 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.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

59. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

60. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

61. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

62. KF0759Ensure medication error rates are not 5 percent or greater.2023-10-20 · Health · corrected 2023-11-13

    Immediate jeopardy

63. KF0760Ensure that residents are free from significant medication errors.2023-10-20 · Health · corrected 2023-11-13

    Immediate jeopardy

64. DF0761Ensure 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.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

65. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

66. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

67. EF0880Provide and implement an infection prevention and control program.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

68. DF0881Implement a program that monitors antibiotic use.2023-10-20 · Health · corrected 2023-11-13

    Potential for more than minimal harm

69. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-31 · Health · corrected 2023-09-17

    Potential for more than minimal harm

70. DF0558Reasonably accommodate the needs and preferences of each resident.2023-08-31 · Health · corrected 2023-09-17

    Potential for more than minimal harm

71. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-12 · Health · corrected 2023-07-29

    Potential for more than minimal harm

72. DF0880Provide and implement an infection prevention and control program.2023-07-12 · Health · corrected 2023-07-29

    Potential for more than minimal harm

73. DF0685Assist a resident in gaining access to vision and hearing services.2023-05-24 · Health · corrected 2023-06-09

    Potential for more than minimal harm

74. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-14 · Health · corrected 2023-03-27

    Potential for more than minimal harm

75. DF0880Provide and implement an infection prevention and control program.2023-03-14 · Health · corrected 2023-03-27

    Potential for more than minimal harm

76. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

77. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

78. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

79. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

80. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

81. EF0693Ensure 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.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

82. EF0697Provide safe, appropriate pain management for a resident who requires such services.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

83. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

84. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

85. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

86. DF0758Implement 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.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

87. EF0761Ensure 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.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

88. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

89. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

90. EF0880Provide and implement an infection prevention and control program.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

91. EF0881Implement a program that monitors antibiotic use.2022-10-31 · Health · corrected 2022-11-25

    Potential for more than minimal harm

Ownership

Other facilities in NORTH HOLLYWOOD

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.