| Maclay Healthcare Center | |
| 12831 Maclay Street, Sylmar, California 91342 | |
| (818) 361-4455 | |
| Name | Maclay Healthcare Center |
|---|---|
| Location | 12831 Maclay Street, Sylmar, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 141 |
| Occupancy Rate | 90.14% |
| Medicare ID (CCN) | 555583 |
| Legal Business Name | Maclay Healthcare LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Serrano Group (11 nursing homes) |
| Chain Average Overall Rating | 1.9 out of 5 |
| NPI Number | 1184097719 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Maclay Healthcare LLC |
| Doing Business As | Maclay Healthcare Center |
| Address | 12831 Maclay St, Sylmar, CA 91342 |
| Phone Number | 818-361-4455 |
| NPI Number | 1073503074 |
| Match | Possible same name, address or phone number |
| Organization Name | Enter Care Maclay Swc |
| Address | 12831 Maclay St, Sylmar, CA 91342 |
| Phone Number | 818-361-4455 |
| NPI Number | 1255526513 |
| Match | Possible same name, address or phone number |
| Organization Name | Lifehouse Maclay Operations, LLC |
| Doing Business As | Maclay Healthcare Center |
| Address | 12831 Maclay St, Sylmar, CA 91342 |
| Phone Number | 818-361-4455 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.1 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.43 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.13 | 0.86 |
| Nurse aide hours per resident per day | 2.54 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.72 | 3.42 |
| RN hours per resident per day on the weekend | 0.26 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 43.5% | 45.8% |
| Registered nurse turnover | 61.1% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 7 |
| Total Amount of Fines in Dollars | $361,118 |
| Number of Payment Denials | 5 |
| Total Number of Penalties | 12 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 9, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 29, 2026 |
| Jun 9, 2026 | Ensure 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. F0761, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jun 29, 2026 |
| Jun 9, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Jun 29, 2026 |
| Apr 14, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Apr 24, 2026 |
| Apr 14, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Apr 24, 2026 |
| Apr 14, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 14, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 14, 2026 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Mar 3, 2026 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Mar 27, 2026 |
| Mar 3, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Mar 27, 2026 |
| Mar 3, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Mar 27, 2026 |
| Jan 16, 2026 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Immediate jeopardy, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Honor 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F0800, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 25, 2026 |
| Jan 16, 2026 | Ensure 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. F0808, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F0809, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Jan 16, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2026 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.13 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.54 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.46 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 9.23 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.45 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.32 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.35 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.36 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.48 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.24 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.67 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.23 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.74 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 9.73 | 15.38 |
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