Inspection citations
11’24
20’25
19’26
50 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Feb 12, 2026 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Feb 12, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Feb 12, 2026 | D · potential | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Routine |
| Feb 12, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Feb 12, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Feb 12, 2026 | 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 |
| Feb 12, 2026 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Feb 12, 2026 | D · 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 |
| Feb 12, 2026 | 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 |
| Feb 12, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 12, 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 |
| Feb 12, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 12, 2026 | F · 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. | Routine |
| Feb 12, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Feb 12, 2026 | F · potential | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Routine |
| Feb 12, 2026 | F · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| Feb 12, 2026 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 12, 2026 | D · potential | Implement a program that monitors antibiotic use. | Routine |
| Feb 12, 2026 | D · potential | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Routine |
| Jul 1, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Feb 20, 2025 | D · potential | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Complaint |
| Jan 30, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jan 30, 2025 | D · potential | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Routine |
| Jan 30, 2025 | 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 |
| Jan 30, 2025 | E · 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 30, 2025 | D · potential | Plan the resident's discharge to meet the resident's goals and needs. | Routine |
| Jan 30, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jan 30, 2025 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jan 30, 2025 | 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 30, 2025 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jan 30, 2025 | E · potential | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Routine |
| Jan 30, 2025 | E · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Routine |
| Jan 30, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jan 30, 2025 | 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 |
| Jan 30, 2025 | D · 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 |
| Jan 30, 2025 | 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 30, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 30, 2025 | F · potential | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Routine |
| Jan 30, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jun 16, 2024 | L · harm | 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. | Complaint |
| Feb 8, 2024 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Feb 8, 2024 | 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 |
| Feb 8, 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 |
| Feb 8, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Feb 8, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Feb 8, 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 |
| Feb 8, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 8, 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 |
| Feb 8, 2024 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 8, 2024 | D · potential | Provide and implement an infection prevention and control program. | 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
Pacifica Hospital of the Valley Dp SNF
9449 San Fernando Road, Sun Valley, CA 91352 · (818) 767-3310
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555217
- Certified beds
- 98
- Legal owner
- Pacifica of the Valley Corporation
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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