Inspection citations
23’23
31’24
10’25
28’26
92 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jan 29, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jan 29, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jan 29, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Jan 29, 2026 | E · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Jan 29, 2026 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Jan 29, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jan 29, 2026 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Jan 29, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jan 29, 2026 | G · harm | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Jan 29, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jan 29, 2026 | E · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Jan 29, 2026 | E · potential | 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. | Routine |
| Jan 29, 2026 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jan 29, 2026 | E · potential | 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. | Routine |
| Jan 29, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jan 29, 2026 | E · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Jan 29, 2026 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jan 29, 2026 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Jan 29, 2026 | E · potential | 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. | Routine |
| Jan 29, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 29, 2026 | E · potential | Dispose of garbage and refuse properly. | Routine |
| Jan 29, 2026 | D · potential | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Routine |
| Jan 29, 2026 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 29, 2026 | E · potential | Implement a program that monitors antibiotic use. | Routine |
| Jan 29, 2026 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Complaint |
| Jan 29, 2026 | D · potential | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Complaint |
| Jan 8, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jan 8, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Nov 8, 2025 | J · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Nov 8, 2025 | D · potential | 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. | Complaint |
| Nov 8, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Nov 8, 2025 | E · potential | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Complaint |
| Nov 8, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jul 17, 2025 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| May 15, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| May 15, 2025 | D · potential | Provide care by qualified persons according to each resident's written plan of care. | Complaint |
| May 2, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 29, 2025 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Dec 12, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Nov 8, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Nov 8, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Nov 8, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Nov 8, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Oct 25, 2024 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Oct 25, 2024 | E · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Oct 25, 2024 | D · potential | 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. | Routine |
| Oct 25, 2024 | E · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Oct 25, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Oct 25, 2024 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Oct 25, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Oct 25, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Oct 25, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Oct 25, 2024 | E · potential | Provide 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. | Routine |
| Oct 25, 2024 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Oct 25, 2024 | E · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Oct 25, 2024 | E · potential | 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. | Routine |
| Oct 25, 2024 | E · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Oct 25, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Oct 25, 2024 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Oct 25, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Oct 25, 2024 | E · potential | Implement 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. | Routine |
| Oct 25, 2024 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Oct 25, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Oct 25, 2024 | E · potential | 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. | Routine |
| Oct 25, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 25, 2024 | E · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Oct 25, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jun 19, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jun 19, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Oct 20, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Oct 20, 2023 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Oct 20, 2023 | E · potential | 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. | Routine |
| Oct 20, 2023 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Oct 20, 2023 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Oct 20, 2023 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Oct 20, 2023 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Oct 20, 2023 | D · potential | Provide 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. | Routine |
| Oct 20, 2023 | E · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Oct 20, 2023 | E · potential | 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. | Routine |
| Oct 20, 2023 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Oct 20, 2023 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Oct 20, 2023 | E · potential | Try 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. | Routine |
| Oct 20, 2023 | E · potential | 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. | Routine |
| Oct 20, 2023 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Oct 20, 2023 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Oct 20, 2023 | K · harm | Ensure medication error rates are not 5 percent or greater. | Routine |
| Oct 20, 2023 | K · harm | Ensure that residents are free from significant medication errors. | Routine |
| Oct 20, 2023 | D · potential | 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. | Routine |
| Oct 20, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 20, 2023 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Oct 20, 2023 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 20, 2023 | D · potential | Implement a program that monitors antibiotic use. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
All Saints Healthcare Subacute
11810 Saticoy Street, North Hollywood, CA 91605 · (818) 982-4600
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056407
- Certified beds
- 128
- Legal owner
- Darbun Enterprises Incorporated
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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