| Providence Holy Cross Med Ctr D/p SNF | |
| 11600a Indian Hills Road, Mission Hills, California 91345 | |
| (818) 898-4630 | |
| Name | Providence Holy Cross Med Ctr D/p SNF |
|---|---|
| Location | 11600a Indian Hills Road, Mission Hills, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 48 |
| Occupancy Rate | 95% |
| Medicare ID (CCN) | 555074 |
| Legal Business Name | Providence Health System - Southern California |
| Ownership Type | Non Profit - Corporation |
| Chain | Providence Health & Services (8 nursing homes) |
| Chain Average Overall Rating | 3 out of 5 |
| NPI Number | 1750309837 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Providence Health System - Southern California |
| Doing Business As | Providence Holy Cross Medical Center |
| Address | 11600 Indian Hills Rd, Building A, Mission Hills, CA 91345 |
| Phone Number | 818-365-8051 |
| 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 | 9.92 | 3.86 |
| Registered nurse (RN) hours per resident per day | 3.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.14 | 0.86 |
| Nurse aide hours per resident per day | 5.01 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 9.11 | 3.42 |
| RN hours per resident per day on the weekend | 3.42 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 25% | 45.8% |
| Registered nurse turnover | 26.8% | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $97,923 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 27, 2026 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 17, 2026 |
| Mar 27, 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 Apr 17, 2026 |
| Mar 27, 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, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Mar 27, 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, isolated | Corrected by Apr 17, 2026 |
| Mar 27, 2026 | Ensure 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Mar 27, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Mar 27, 2026 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Mar 27, 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, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Mar 27, 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, isolated | Corrected by Apr 17, 2026 |
| Mar 27, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Mar 27, 2026 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Mar 27, 2026 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 17, 2026 |
| Dec 11, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Complaint inspection | Immediate jeopardy, pattern | Corrected by Jan 14, 2026 |
| Mar 27, 2025 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, widespread | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | 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 Apr 26, 2025 |
| Mar 27, 2025 | Ensure 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | 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 Apr 26, 2025 |
| Mar 27, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | 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, isolated | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | 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, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Mar 27, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 26, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Not Available | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.21 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.53 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.91 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.8 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0.58 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.19 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 66.67 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.85 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 14.29 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 0 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.19 | 15.38 |
Ararat Nursing Facility Location: 15099 Mission Hills Road, Mission Hills, California 91345 Phone: (818) 837-1800 |