Starfile

Starfile / California

PACIFICA HOSPITAL OF THE VALLEY DP SNF

9449 SAN FERNANDO ROAD, SUN VALLEY, CA 91352 · CCN 555217

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★☆ 4
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Individual
Certified beds
98
Avg residents/day
60.0
Phone
8187673310

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
12025-01-301915.69.5+3.4 worse
22024-02-081217.49.8-5.4 better
32023-01-202717.19.3+9.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care5
Resident assessment and care planning3
Nursing and physician services1
Resident rights3
Nutrition and dietary1
Pharmacy service4
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.95
RN staffing (reported)1.31
Total nurse staffing (adjusted)2.81

Fines & penalties

Total fines
$60,373
Number of fines
1
Number of penalties
1
Payment denials
0

Inspection citations (58)1 immediate jeopardy

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-07-01 · Health · corrected 2025-08-18

    Potential for more than minimal harm

  2. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-02-20 · Health · corrected 2025-03-27

    Potential for more than minimal harm

  3. DF0558Reasonably accommodate the needs and preferences of each resident.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  4. 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.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  5. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  6. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  7. DF0660Plan the resident's discharge to meet the resident's goals and needs.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  9. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  10. 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.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  11. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  12. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  13. EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  14. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  15. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  16. 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.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  17. 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.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  18. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  19. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  20. EF0880Provide and implement an infection prevention and control program.2025-01-30 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  21. LF0584Honor 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.2024-06-16 · Health · corrected 2024-06-23

    Immediate jeopardy

  22. EF0558Reasonably accommodate the needs and preferences of each resident.2024-02-08 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-08 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  24. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-08 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  25. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-08 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  26. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-08 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  27. 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.2024-02-08 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  28. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-08 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  29. 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.2024-02-08 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  30. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-08 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  31. DF0880Provide and implement an infection prevention and control program.2024-02-08 · Health · corrected 2024-03-15

    Potential for more than minimal harm

  32. FF0908Keep all essential equipment working safely.2023-07-13 · Health · corrected 2023-08-17

    Potential for more than minimal harm

  33. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-10 · Health · corrected 2023-05-18

    Potential for more than minimal harm

  34. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-04-20 · Health · corrected 2023-06-06

    Potential for more than minimal harm

  35. EF0578Honor 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.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  36. 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.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  37. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  38. BF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-01-20 · Health · corrected 2023-02-20

    Potential for minimal harm

  39. BF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-01-20 · Health · corrected 2023-02-20

    Potential for minimal harm

  40. BF0641Ensure each resident receives an accurate assessment.2023-01-20 · Health · corrected 2023-02-20

    Potential for minimal harm

  41. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  42. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  43. DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  44. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  45. 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.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  47. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  48. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  49. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  50. 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.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  51. 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.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  52. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  53. EF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  54. EF0880Provide and implement an infection prevention and control program.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  55. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  56. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  57. DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  58. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PACIFICA OF THE VALLEY CORPORATIONOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2011-01-14
TUFT, PAULIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2011-01-14
BUSCH, KATHYIndividualCORPORATE DIRECTOR2018-08-23
TUFT, PAULIndividualCORPORATE DIRECTOR2011-01-14
MARTIN, DEBORAHIndividualCORPORATE OFFICER2018-04-16
MAYES, PRECIOUSIndividualCORPORATE OFFICER2018-04-16
BUSCH, KATHYIndividualW-2 MANAGING EMPLOYEE2018-08-23

Other facilities in SUN VALLEY

NameOverallBeds
TOTALLY KIDS SPECIALTY HEALTHCARE - SUN VALLEY★★★★☆45
VILLA SCALABRINI SPECIAL CARE★★★☆☆58

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