PROVIDENCE HOLY CROSS MED CTR D/P SNF
11600A INDIAN HILLS ROAD, MISSION HILLS, CA 91345, MISSION HILLS, CA 91345 · CCN 555074
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 48
- Avg residents/day
- 43.2
- Phone
- 8188984630
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-27 | 18 | 15.6 | 9.5 | +2.4 worse |
| 2 | 2024-04-14 | 17 | 17.4 | 9.8 | -0.4 better |
| 3 | 2023-03-26 | 14 | 17.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 2 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Administration | 1 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 9.68 | 31.4% |
| RN staffing (reported) | 3.85 | 40.5% |
| Total nurse staffing (adjusted) | 3.90 | — |
Fines & penalties
- Total fines
- $107,673
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- PROVIDENCE HEALTH & SERVICES
- Facilities in chain
- 7
- Chain avg overall
- 2.40 / 5
Inspection citations (49)1 immediate jeopardy2 actual harm
- KF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-11 · Health · corrected 2026-01-21
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2025-03-27 · Health · corrected 2025-04-26
Potential for minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- 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.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- 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.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-03-27 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-14 · Health · corrected 2024-05-06
Actual harm
- EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-04-14 · Health · corrected 2024-05-06
Potential for minimal harm
- BF0641Ensure each resident receives an accurate assessment.2024-04-14 · Health · corrected 2024-05-06
Potential for minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-14 · Health · corrected 2024-05-06
Actual harm
- 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.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- 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.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- 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.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2024-04-14 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-29 · Health · corrected 2023-10-15
Potential for more than minimal harm
- EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- 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.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- 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.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- 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.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- 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.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-03-26 · Health · corrected 2023-04-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1966-01-01 |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-01-01 |
| BLAIR, RICHARD | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| CRAWFORD, ISIAAH | Individual | CORPORATE DIRECTOR | — | 2012-02-01 |
| 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 |
| PACINI, CAROL | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| SORENSON, CHARLES | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| SPRUNK, ERIC | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| ANDERSON, DONALD | Individual | CORPORATE OFFICER | — | 2016-12-20 |
| HOFFMAN, GREGORY | Individual | CORPORATE OFFICER | — | 2020-10-01 |
| MARTIN, JAMES | Individual | CORPORATE OFFICER | — | 2023-01-13 |
| NEWSOM, ANNA | Individual | CORPORATE OFFICER | — | 2022-05-13 |
| WATSON, JAMES | Individual | CORPORATE OFFICER | — | 2019-06-05 |
| WEXLER, ERIK | Individual | CORPORATE OFFICER | — | 2023-01-01 |
| KLEIN, BERNARD | Individual | W-2 MANAGING EMPLOYEE | — | 2013-02-01 |
| PICKETT-LYONS, GLENDA | Individual | W-2 MANAGING EMPLOYEE | — | 2023-02-01 |
| ROHAN, TIMOTHY | Individual | W-2 MANAGING EMPLOYEE | — | 2022-04-04 |
| SANI, SASAN | Individual | W-2 MANAGING EMPLOYEE | — | 2016-07-27 |
Other facilities in MISSION HILLS
| Name | Overall | Beds |
|---|---|---|
| Ararat Nursing Facility | ★☆☆☆☆ | 254 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.