Starfile

Starfile / California

MOUNTAIN VIEW CONV HOSP

13333 FENTON AVENUE, SYLMAR, CA 91342 · CCN 056333

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
114
Avg residents/day
103.2
Phone
8183671033

Inspection history vs California & national averages

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

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12024-12-063615.69.5+20.4 worse
22023-11-303017.49.8+12.6 worse
32022-11-234117.19.3+23.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care7
Resident assessment and care planning9
Resident rights8
Nutrition and dietary3
Pharmacy service4
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.5027.6%
RN staffing (reported)0.5920.0%
Total nurse staffing (adjusted)3.51

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
CAMBRIDGE HEALTHCARE SERVICES
Facilities in chain
32
Chain avg overall
2.60 / 5

Inspection citations (107)1 immediate jeopardy

  1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-06 · Health · corrected 2026-01-22

    Potential for more than minimal harm

  2. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2026-01-06 · Health · corrected 2026-01-22

    Potential for more than minimal harm

  3. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-06 · Health · corrected 2026-01-22

    Potential for more than minimal harm

  4. DF0881Implement a program that monitors antibiotic use.2026-01-06 · Health · corrected 2026-01-22

    Potential for more than minimal harm

  5. DF0583Keep residents' personal and medical records private and confidential.2025-10-14 · Health · corrected 2025-11-26

    Potential for more than minimal harm

  6. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-10-14 · Health · corrected 2025-11-26

    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.2025-10-14 · Health · corrected 2025-11-26

    Potential for more than minimal harm

  8. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-12 · Health · corrected 2025-08-21

    Potential for more than minimal harm

  9. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-05 · Health · corrected 2025-08-20

    Potential for more than minimal harm

  10. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-06-09 · Health · corrected 2025-06-24

    Potential for more than minimal harm

  11. EF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2025-06-02 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  12. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-02 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  13. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-12 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  14. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-12 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  15. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-11 · Health · corrected 2025-04-03

    Potential for more than minimal harm

  16. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-01-24 · Health · corrected 2025-02-13

    Potential for more than minimal harm

  17. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  18. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  19. 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.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  20. BF0641Ensure each resident receives an accurate assessment.2024-12-06 · Health · corrected 2024-12-30

    Potential for minimal harm

  21. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  22. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  23. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  24. 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.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  25. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  26. 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.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  27. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  28. DF0700Try 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.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  29. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  30. 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.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  31. EF0759Ensure medication error rates are not 5 percent or greater.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  32. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  33. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  34. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  35. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  36. DF0880Provide and implement an infection prevention and control program.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  37. DF0881Implement a program that monitors antibiotic use.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  38. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-27 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  39. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-11-27 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  40. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-27 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  41. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-29 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  42. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-29 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  43. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-29 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  44. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-19 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  45. DF0880Provide and implement an infection prevention and control program.2024-08-15 · Health · corrected 2024-09-04

    Potential for more than minimal harm

  46. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-21 · Health · corrected 2024-06-11

    Potential for more than minimal harm

  47. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-14 · Health · corrected 2024-03-22

    Potential for more than minimal harm

  48. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-03-14 · Health · corrected 2024-03-22

    Potential for more than minimal harm

  49. DF0692Provide enough food/fluids to maintain a resident's health.2024-02-02 · Health · corrected 2024-02-15

    Potential for more than minimal harm

  50. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-12-08 · Health · corrected 2023-12-27

    Potential for more than minimal harm

  51. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  52. EF0558Reasonably accommodate the needs and preferences of each resident.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  53. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  54. BF0641Ensure each resident receives an accurate assessment.2023-11-30 · Health · corrected 2023-12-22

    Potential for minimal harm

  55. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  56. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  57. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  58. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  59. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  60. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  61. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  62. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  63. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  64. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  65. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  66. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  67. DF0880Provide and implement an infection prevention and control program.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  68. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-11-30 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  69. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-10-20 · Health · corrected 2023-10-27

    Potential for more than minimal harm

  70. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-09-29 · Health · corrected 2023-10-13

    Potential for more than minimal harm

  71. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-09-27 · Health · corrected 2023-10-13

    Potential for more than minimal harm

  72. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-09-14 · Health · corrected 2023-10-16

    Potential for more than minimal harm

  73. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-14 · Health · corrected 2023-10-16

    Immediate jeopardy

  74. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-09-14 · Health · corrected 2023-10-16

    Potential for more than minimal harm

  75. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-14 · Health · corrected 2023-10-16

    Potential for more than minimal harm

  76. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-14 · Health · corrected 2023-10-16

    Potential for more than minimal harm

  77. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-14 · Health · corrected 2023-10-16

    Potential for more than minimal harm

  78. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-09-14 · Health · corrected 2023-10-16

    Potential for more than minimal harm

  79. DF0880Provide and implement an infection prevention and control program.2023-09-14 · Health · corrected 2023-10-16

    Potential for more than minimal harm

  80. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-05 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  81. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-05 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  82. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-05 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  83. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-07-05 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  84. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-24 · Health · corrected 2023-06-12

    Potential for more than minimal harm

  85. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-05-24 · Health · corrected 2023-06-12

    Potential for more than minimal harm

  86. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-24 · Health · corrected 2023-06-12

    Potential for more than minimal harm

  87. EF0880Provide and implement an infection prevention and control program.2023-05-24 · Health · corrected 2023-06-12

    Potential for more than minimal harm

  88. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  89. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  90. DF0583Keep residents' personal and medical records private and confidential.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  91. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  92. DF0610Respond appropriately to all alleged violations.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  93. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  94. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  95. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  96. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  97. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  98. 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.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  99. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  100. 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.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  101. EF0730Observe each nurse aide's job performance and give regular training.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  102. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  103. 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.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  104. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  105. EF0825Provide or get specialized rehabilitative services as required for a resident.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  106. EF0880Provide and implement an infection prevention and control program.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  107. DF0886Perform COVID19 testing on residents and staff.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
WIN WIN ENTERPRISES, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST49%1977-04-01
JENNIFER NURIT SMEDRA TRUST 1997 TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST19%1998-05-27
SHERSHER LPOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST11%1998-05-27
JENMAX ENTERPRISES LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST8%1998-05-27
LATT, MAUREENIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST7%1998-05-27
SMEDRA, IRAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST6%1998-05-27
GERVACIO, JOSEFINAIndividualOPERATIONAL/MANAGERIAL CONTROL2023-11-20
HASSELL, LANCEIndividualOPERATIONAL/MANAGERIAL CONTROL2022-04-25
LUTZ, LINDAIndividualOPERATIONAL/MANAGERIAL CONTROL2012-02-01
MOORE, AMANDAIndividualOPERATIONAL/MANAGERIAL CONTROL2023-05-08
MORALES, MARIETAIndividualOPERATIONAL/MANAGERIAL CONTROL2023-03-01
SALAZAR, PAULINAIndividualOPERATIONAL/MANAGERIAL CONTROL2020-12-14
SMEDRA, IRAIndividualOPERATIONAL/MANAGERIAL CONTROL1998-05-27
WINTNER, JACOBIndividualOPERATIONAL/MANAGERIAL CONTROL1998-05-27
CAMBRIDGE HEALTHCARE SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2014-04-01
PREFERRED BANKOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-09-06
BHARDWAJ, ASHWANIIndividualOPERATIONAL/MANAGERIAL CONTROL2023-06-24
BUTENKO, JULIEIndividualOPERATIONAL/MANAGERIAL CONTROL2023-07-24
CAPELA, HEIDIIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-03

Other facilities in SYLMAR

NameOverallBeds
THE GROVE POST-ACUTE CARE CENTER★★☆☆☆75
MACLAY HEALTHCARE CENTER★★☆☆☆141
Astoria Healthcare Center★☆☆☆☆218

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