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All Saints Healthcare Subacute: Outdated Records - CA

Healthcare Facility
All Saints Healthcare Subacute
North Hollywood, CA  ·  2/5 stars

That contradiction sat at the center of a complaint inspection at All Saints Healthcare Subacute, a skilled nursing facility at 11810 Saticoy Street, completed on November 8, 2025.

Inspectors reviewed three versions of the facility's assessment document. The first, dated April 17, 2025. The second, updated November 3, 2025. The third, updated November 4, 2025. All three contained the same language: medical records are paper documents "at present," with a planned transition to electronic health records on November 1, 2024. All three said the same wrong thing.

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The facility assessment is the document a nursing home uses to plan for what its residents need — staffing levels, training, equipment, supplies. It is supposed to reflect reality.

This one did not.

The Director of Nursing told inspectors the assessment was not complete. Not just outdated on the records question — missing entirely on the subject of equipment for pediatric residents. All Saints serves pediatric patients, and the facility assessment did not include a pediatric-size shower bed. The DON acknowledged it should have.

The Staff Development Coordinator told inspectors on November 6 that the facility had started using the electronic health records system on April 1, 2025. Two days later, the administrator confirmed the same date and acknowledged that the November 4 version of the assessment — reviewed just four days before the inspection ended — still did not reflect it. "The Facility Assessment should have been updated to reflect the use of EHR on 4/1/2025," the administrator said.

The DON, interviewed separately on November 8, agreed. "The Facility Assessment 2025 was not complete and not accurate," the DON said.

That is a notable thing for a facility's own nursing director to say to a federal inspector about a document the facility had updated, or attempted to update, multiple times in the same week.

The deficiency was cited at a level of minimal harm or potential for actual harm, affecting few residents. It is not the kind of violation that signals immediate danger. But a facility assessment that describes a paper records system seven months after the facility went digital, and omits specialized equipment for a vulnerable pediatric population, is a planning document that cannot do its job.

The facility's own leadership did not dispute any of it.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for All Saints Healthcare Subacute from 2025-11-08 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: June 22, 2026  ·  Our methodology

Quick Answer

ALL SAINTS HEALTHCARE SUBACUTE in NORTH HOLLYWOOD, CA was cited for violations during a health inspection on November 8, 2025.

Inspectors reviewed three versions of the facility's assessment document.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at ALL SAINTS HEALTHCARE SUBACUTE?
Inspectors reviewed three versions of the facility's assessment document.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in NORTH HOLLYWOOD, CA, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from ALL SAINTS HEALTHCARE SUBACUTE or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 056407.
Has this facility had violations before?
To check ALL SAINTS HEALTHCARE SUBACUTE's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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