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Pacifica Hospital Of The Valley Dp Snf

📍 9449 San Fernando Road, Sun-valley, CA 91352 📞 (818) 767-3310 🛏️ 98 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

January 30, 2025 Health Inspection

Fines and Penalties by Year

2023 1 penalties totaling $5,000

$5,000
Jan 20, 2023

Fine

2021 8 penalties totaling $17,025

$3,275
Dec 20, 2021

Fine

$2,948
Nov 22, 2021

Fine

$2,621
Aug 30, 2021

Fine

$2,293
Aug 16, 2021

Fine

$1,965
Aug 2, 2021

Fine

$1,638
Jul 26, 2021

Fine

$1,310
Jul 19, 2021

Fine

$975
Jun 28, 2021

Fine

2020 1 penalties totaling $655

$655
Jun 8, 2020

Fine

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Health Violations by Year

2025 19 violations

Tag 0553 D Feb 20, 2025

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Mar 27, 2025
Tag 0558 D Jan 30, 2025

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Feb 27, 2025
Tag 0578 D Jan 30, 2025

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.

✓ Corrected: Feb 27, 2025
Tag 0656 E Jan 30, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 27, 2025
Tag 0657 E Jan 30, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 27, 2025
Tag 0660 D Jan 30, 2025

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Feb 27, 2025
Tag 0684 D Jan 30, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 27, 2025
Tag 0689 E Jan 30, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 27, 2025
Tag 0693 E Jan 30, 2025

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.

✓ Corrected: Feb 27, 2025
Tag 0697 D Jan 30, 2025

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Feb 27, 2025
Tag 0711 E Jan 30, 2025

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

✓ Corrected: Feb 27, 2025
Tag 0745 E Jan 30, 2025

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Feb 27, 2025
Tag 0755 E Jan 30, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 27, 2025
Tag 0756 D Jan 30, 2025

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Feb 27, 2025
Tag 0758 D Jan 30, 2025

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.

✓ Corrected: Feb 27, 2025
Tag 0761 E Jan 30, 2025

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.

✓ Corrected: Feb 27, 2025
Tag 0812 E Jan 30, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 27, 2025
Tag 0851 F Jan 30, 2025

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

✓ Corrected: Feb 27, 2025
Tag 0880 E Jan 30, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 27, 2025

2024 11 violations

Tag 0584 L Jun 16, 2024

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.

✓ Corrected: Jun 23, 2024
Tag 0558 E Feb 8, 2024

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 15, 2024
Tag 0656 D Feb 8, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 15, 2024
Tag 0657 D Feb 8, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 15, 2024
Tag 0658 E Feb 8, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 15, 2024
Tag 0686 D Feb 8, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 15, 2024
Tag 0688 E Feb 8, 2024

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.

✓ Corrected: Mar 15, 2024
Tag 0755 E Feb 8, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 15, 2024
Tag 0758 E Feb 8, 2024

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.

✓ Corrected: Mar 15, 2024
Tag 0812 D Feb 8, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 15, 2024
Tag 0880 D Feb 8, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 15, 2024
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2023 27 violations

Tag 0908 F Jul 13, 2023

Keep all essential equipment working safely.

✓ Corrected: Aug 17, 2023
Tag 0609 D May 10, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 18, 2023
Tag 0921 E Apr 20, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jun 6, 2023
Tag 0578 E Jan 20, 2023

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.

✓ Corrected: Feb 20, 2023
Tag 0584 D Jan 20, 2023

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.

✓ Corrected: Feb 20, 2023
Tag 0604 D Jan 20, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Feb 20, 2023
Tag 0636 B Jan 20, 2023

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Feb 20, 2023
Tag 0638 B Jan 20, 2023

Assure that each resident’s assessment is updated at least once every 3 months.

✓ Corrected: Feb 20, 2023
Tag 0641 B Jan 20, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Feb 20, 2023
Tag 0656 E Jan 20, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 20, 2023
Tag 0658 D Jan 20, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Feb 20, 2023
Tag 0660 D Jan 20, 2023

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Feb 20, 2023
Tag 0686 D Jan 20, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 20, 2023
Tag 0688 E Jan 20, 2023

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.

✓ Corrected: Feb 20, 2023
Tag 0689 D Jan 20, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 20, 2023
Tag 0695 E Jan 20, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 20, 2023
Tag 0755 D Jan 20, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 20, 2023
Tag 0756 E Jan 20, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Feb 20, 2023
Tag 0758 D Jan 20, 2023

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.

✓ Corrected: Feb 20, 2023
Tag 0761 E Jan 20, 2023

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.

✓ Corrected: Feb 20, 2023

2022 4 violations

Tag 0573 D Apr 14, 2022

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

✓ Corrected: May 13, 2022
Tag 0686 D Apr 1, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 28, 2022
Tag 0880 D Feb 10, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 18, 2022
Tag 0607 D Jan 28, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: May 4, 2022
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2021 4 violations

Tag 0688 D Dec 1, 2021

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.

✓ Corrected: Dec 15, 2021
Tag 0684 D Jun 29, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 15, 2021
Tag 0600 D Jun 4, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 16, 2021
Tag 0885 D Jan 27, 2021

Report COVID19 data to residents and families.

2019 27 violations

Tag 0609 D Aug 20, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 27, 2019
Tag 0689 D Aug 20, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 27, 2019
Tag 0689 D Jun 27, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0657 D May 31, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 1, 2020
Tag 0550 E May 15, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jul 2, 2019
Tag 0558 D May 15, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jul 2, 2019
Tag 0578 D May 15, 2019

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.

✓ Corrected: Jul 2, 2019
Tag 0604 D May 15, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Jul 2, 2019
Tag 0610 D May 15, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Jul 2, 2019
Tag 0625 D May 15, 2019

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Jul 2, 2019
Tag 0645 E May 15, 2019

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Jul 2, 2019
Tag 0657 D May 15, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jul 2, 2019
Tag 0677 D May 15, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jul 2, 2019
Tag 0690 D May 15, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jul 2, 2019
Tag 0693 D May 15, 2019

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.

✓ Corrected: Jul 2, 2019
Tag 0695 D May 15, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jul 2, 2019
Tag 0710 D May 15, 2019

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

✓ Corrected: Jul 2, 2019
Tag 0727 F May 15, 2019

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Jul 2, 2019
Tag 0732 F May 15, 2019

Post nurse staffing information every day.

✓ Corrected: Jul 2, 2019
Tag 0755 E May 15, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jul 2, 2019
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2018 12 violations

Tag 0693 E Oct 4, 2018

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.

✓ Corrected: Oct 12, 2018
Tag 0560 D Sep 19, 2018

Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

✓ Corrected: Nov 15, 2018
Tag 0580 D May 12, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jun 6, 2018
Tag 0636 D May 12, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Jun 6, 2018
Tag 0658 D May 12, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jun 6, 2018
Tag 0687 D May 12, 2018

Provide appropriate foot care.

✓ Corrected: Jun 6, 2018
Tag 0690 D May 12, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 6, 2018
Tag 0694 D May 12, 2018

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Jun 6, 2018
Tag 0755 D May 12, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jun 6, 2018
Tag 0757 D May 12, 2018

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Jun 6, 2018
Tag 0812 E May 12, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 6, 2018
Tag 0609 D Apr 24, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 22, 2018

2017 8 violations

Tag 0332 E Apr 28, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

✓ Corrected: Jun 5, 2017
Tag 0356 E Apr 28, 2017

Post nurse staffing information/data on a daily basis.

✓ Corrected: Jun 5, 2017
Tag 0371 E Apr 28, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jun 5, 2017
Tag 0425 E Apr 28, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Jun 5, 2017
Tag 0431 E Apr 28, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Jun 5, 2017
Tag 0463 E Apr 28, 2017

Make sure that a working call system is available in each resident's room or bathroom and bathing area.

✓ Corrected: Jun 5, 2017
Tag 0465 D Apr 28, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jun 5, 2017
Tag 0514 B Apr 28, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Jun 5, 2017
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