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Complaint Investigation

Valley Vista Nursing And Transitional Care Llc

Inspection Date: September 5, 2025
Total Violations 2
Facility ID 555132
Location NORTH HOLLYWOOD, CA
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Inspection Findings

F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

During a review of Resident 3's History and Physical Examination (H&P - when a doctor obtains a patient's medical history, performs a physical exam, and documents his/her findings in the patient's medical record), dated 6/15/2025, the H&P indicated Resident 3 had the capacity to understand and make decisions. During

a review of Resident 3's Minimum Data Set (MDS - a resident assessment tool), dated 6/17/2025, the MDS indicated Resident 3 required substantial assistance with showering and toileting hygiene (a helper does more than half the effort in completing the activity). The MDS indicated Resident 3 required partial assistance with oral hygiene and upper body dressing (a helper does less than half the effort). The MDS indicated Resident 3 required supervision for eating (a helper provides verbal cues or contact assistance as

the resident completes the activity). During a concurrent interview and record review on 9/5/2025 at 11:28 a.m. with DON, Resident 3's care plan dated 9/5/2025 was reviewed. The DON stated social services is responsible for developing a care plan with interventions related to discharge planning. The DON reviewed Resident 3's care plan and could not locate any focus, goal, or intervention related to discharge planning.

The DON stated it is important to develop a care plan for discharge planning so that a patient knows where

they are going to go, and there is a plan for a safe discharge. The DON stated if the care plan does not include discharge planning, it can be chaos which can cause stress to the patient. During a review of the facility's policy and procedure (P&P) titled, Care Plans, Comprehensive Person-Centered, dated 1/2025,

the P&P indicated the following: A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. During a review of the facility's policy and procedure (P&P) titled, Social Services, dated 1/2025, the P&P indicated the social worker/social services staff are responsible for.Transitions of Care.[and] Comprehensive Person-Centered Care Planning. The P&P indicated social services are responsible for helping residents with transitions of care services, such as community placement options, home care services, transfer arrangements, etc. During a review of the facility's job description for SSD titled, Job Description, undated, the job description indicated the SSD provides discharge-planning services including referrals, arrangement for follow-up services, transfers to other facilities, and post discharge plan of care.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/05/2025

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

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited VALLEY VISTA NURSING AND TRANSITIONAL CARE LLC in NORTH HOLLYWOOD, CA for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-09-05.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of VALLEY VISTA NURSING AND TRANSITIONAL CARE LLC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-08.

📋 Inspection Summary

VALLEY VISTA NURSING AND TRANSITIONAL CARE LLC in NORTH HOLLYWOOD, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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.
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