| Providence St Elizabeth Care Center | |
| 10425 Magnolia Blvd, North Hollywood, California 91601 | |
| (818) 980-3872 | |
| Name | Providence St Elizabeth Care Center |
|---|---|
| Location | 10425 Magnolia Blvd, North Hollywood, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 52 |
| Occupancy Rate | 89.04% |
| Medicare ID (CCN) | 055192 |
| Legal Business Name | Providence Health System - Southern California |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Providence Health & Services (8 nursing homes) |
| Chain Average Overall Rating | 3 out of 5 |
| NPI Number | 1477647444 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Providence Health System - Southern California |
| Doing Business As | Providence St. Elizabeth Care Center |
| Address | 10425 Magnolia Blvd, North Hollywood, CA 91601 |
| Phone Number | 818-980-3872 |
| NPI Number | 1801623624 |
| Match | Possible same name, address or phone number |
| Organization Name | West Star Healthcare LLC |
| Address | 10425 Magnolia Blvd, North Hollywood, CA 91601 |
| Phone Number | 818-980-3872 |
| 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 | 4.76 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.85 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.25 | 0.86 |
| Nurse aide hours per resident per day | 2.66 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.12 | 3.42 |
| RN hours per resident per day on the weekend | 0.62 | 0.48 |
| Physical therapist hours per resident per day | 0.19 | 0.07 |
| Total nursing staff turnover | 27.8% | 45.8% |
| Registered nurse turnover | 40% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $54,032 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 2, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 2, 2026 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Jan 12, 2026 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Jan 30, 2026 |
| Jan 12, 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 Jan 30, 2026 |
| Jan 12, 2026 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Complaint inspection | Potential for harm, pattern | Corrected by Jan 30, 2026 |
| Jan 12, 2026 | Give the resident's representative the ability to exercise the resident's rights. F0551, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 30, 2026 |
| Jan 12, 2026 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 30, 2026 |
| Jan 12, 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, isolated | Corrected by Jan 30, 2026 |
| Jan 2, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Immediate jeopardy, pattern | Corrected by Jan 30, 2026 |
| Jan 2, 2026 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Immediate jeopardy, isolated | Corrected by Jan 30, 2026 |
| Jan 2, 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 Jan 30, 2026 |
| Jan 2, 2026 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 30, 2026 |
| Jan 2, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 30, 2026 |
| Jan 2, 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 Jan 30, 2026 |
| Jan 2, 2026 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jan 30, 2026 |
| Jan 2, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jan 30, 2026 |
| Jan 2, 2026 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jan 30, 2026 |
| Jan 2, 2026 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2026 |
| Jan 2, 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, isolated | Corrected by Jan 30, 2026 |
| Jan 2, 2026 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2026 |
| Jan 2, 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, isolated | Corrected by Jan 30, 2026 |
| Jan 2, 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 Jan 30, 2026 |
| Jan 2, 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 Jan 30, 2026 |
| Jan 2, 2026 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2026 |
| Jan 2, 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, isolated | Corrected by Jan 30, 2026 |
| Jan 2, 2026 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2026 |
| Jan 2, 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 Jan 30, 2026 |
| Jan 2, 2026 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2026 |
| Jan 2, 2026 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Jan 30, 2026 |
| Dec 10, 2025 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Complaint inspection | Minimal harm potential, pattern | Corrected by Jan 30, 2026 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.62 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.69 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.83 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.45 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 14.75 | 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 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 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 | 13.77 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.43 | 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 | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 8.02 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.73 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 0 | 15.38 |
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