PROVIDENCE LITTLE COMP OF MARY SUBACUTE CARE CTR
1322 WEST SIXTH STREET, SAN PEDRO, CA 90732 · CCN 555848
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 125
- Avg residents/day
- 98.0
- Phone
- 3107914518
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 | 2024-12-06 | 7 | 15.6 | 9.5 | -8.6 better |
| 2 | 2023-12-14 | 13 | 17.4 | 9.8 | -4.4 better |
| 3 | 2023-01-13 | 15 | 17.1 | 9.3 | -2.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Nutrition and dietary | 3 |
| Pharmacy service | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 8.38 | 28.4% |
| RN staffing (reported) | 1.98 | 9.3% |
| Total nurse staffing (adjusted) | 3.93 | — |
Fines & penalties
- Total fines
- $11,170
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- PROVIDENCE HEALTH & SERVICES
- Facilities in chain
- 7
- Chain avg overall
- 2.40 / 5
Inspection citations (35)1 immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2025-01-16 · Health
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-06 · Health · corrected 2024-12-27
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.2024-12-06 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-12-06 · Health · corrected 2024-12-27
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.2024-12-06 · Health · corrected 2024-12-27
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2024-12-06 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-06 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-12-06 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-12-14 · Health · corrected 2024-01-12
Potential for more than minimal harm
- KF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-12-14 · Health · corrected 2024-01-12
Immediate jeopardy
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-12-14 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0693Ensure 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.2023-12-14 · Health · corrected 2024-01-12
Potential for more than minimal harm
- EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-12-14 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-14 · Health · corrected 2024-01-12
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.2023-12-14 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-12-14 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-12-14 · Health · corrected 2024-01-12
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-14 · Health · corrected 2024-01-12
Potential for more than minimal harm
- EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-12-14 · Health · corrected 2024-01-12
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-12-14 · Health · corrected 2024-01-12
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.2023-11-03 · Health · corrected 2024-03-07
Potential for more than minimal harm
- 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.2023-05-15 · Health · corrected 2023-06-04
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-03 · Health · corrected 2023-04-30
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.2023-01-13 · Health · corrected 2023-02-06
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-01-13 · Health · corrected 2023-02-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-01-13 · Health · corrected 2023-02-06
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.2023-01-13 · Health · corrected 2023-02-06
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-01-13 · Health · corrected 2023-02-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-13 · Health · corrected 2023-02-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-13 · Health · corrected 2023-02-06
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2023-01-13 · Health · corrected 2023-02-06
Potential for more than minimal harm
- 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.2023-01-13 · Health · corrected 2023-02-06
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-13 · Health · corrected 2023-02-06
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-13 · Health · corrected 2023-02-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-01-13 · Health · corrected 2023-02-06
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% | 2007-01-26 |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2010-01-13 |
| 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 |
| GHATAN, BIJAN | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2014-04-01 |
| GOEDERS, JOHN | Individual | W-2 MANAGING EMPLOYEE | — | 2020-06-26 |
| RICKS, MICHAEL | Individual | W-2 MANAGING EMPLOYEE | — | 2023-11-05 |
Other facilities in SAN PEDRO
| Name | Overall | Beds |
|---|---|---|
| SEACREST POST-ACUTE CARE CENTER | ★★☆☆☆ | 80 |
| LOS PALOS POST-ACUTE CARE CENTER | ★★☆☆☆ | 99 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.