Complaint Investigation

Valley Vista Nursing And Transitional Care Llc

April 4, 2025 · North Hollywood, CA · 6120 N. Vineland Ave

Citations 2

CMS Rating 1/5

Beds 72

Provider ID 555132

Healthcare Facility

Valley Vista Nursing And Transitional Care Llc

North Hollywood, CA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov) · 10 pages

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

VALLEY VISTA NURSING AND TRANSITIONAL CARE LLC in NORTH HOLLYWOOD, CA — inspection on April 4, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF584

Minimal harm or Resident 1's bed. CNA 1 stated a plastic spoon with brown residue, a glass jar with brown residue, an Few Resident 1's bed. CNA 1 stated it is important to keep Resident 1's room clean to prevent infections. affected

During a review of Resident 1's History and Physical (H&P), dated 11/5/2024, the H&P indicated, Resident 1 had the capacity to understand and make decisions.

During a review of Resident 1's Care Plan (CP), dated 11/7/2024, the CP indicated Resident 1 was blind and was dependent on staff.

During a review of Resident 1's Minimum Data Set (MDS-a resident assessment tool), dated 2/7/2025, the MDS indicated Resident 1 had moderately impaired cognitive functioning (mental processes that enable people to think, understand, make decisions, and complete tasks).

The MDS also indicated Resident 1 required moderate assistance with toilet transfers, toilet hygiene, and maximal assistance with lower body dressing.

The MDS indicated Resident 1 was always incontinent of urine and bowel movements.

555132

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 555132 B.

Wing 04/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Valley Vista Nursing and Transitional Care LLC 6120 N.

Vineland Ave North Hollywood, CA 91606

FF880

Minimal harm or people to think, understand, make decisions, and complete tasks). The MDS also indicated Resident 1 Few of urine and bowel movements. affected

During a review of Resident 1's History and Physical (H&P), dated 11/5/2024, the H&P indicated Resident 1 had the capacity to understand and make decisions.

During a review of Resident 1's Care Plan (CP), dated 11/7/2024, the CP indicated Resident 1 was blind and was dependent on staff.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

555132

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 555132 B.

Wing 04/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Valley Vista Nursing and Transitional Care LLC 6120 N.

Vineland Ave North Hollywood, CA 91606

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NORTH HOLLYWOOD, CA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from VALLEY VISTA NURSING AND TRANSITIONAL CARE LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.