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Health Inspection

Pacifica Hospital Of The Valley Dp Snf

January 30, 2025 · Sun Valley, CA · 9449 San Fernando Road
Citations 1
CMS Rating 1/5
Beds 98
Provider ID 555217
Healthcare Facility
Pacifica Hospital Of The Valley Dp Snf
Sun Valley, CA  ·  View full profile →
Inspection Summary

PACIFICA HOSPITAL OF THE VALLEY DP SNF in SUN VALLEY, CA — inspection on January 30, 2025.

Found 1 citation. 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.

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Inspection Findings

FF755
Minimal harm or assessed for these dates. Few admitted to the facility on [DATE] with diagnoses that included acute respiratory failure with hypoxia (a affected

During a review of Resident 6's Patient Information Form (a page with information indicated for a resident such as facility admitted and pertinent diagnoses), the document indicated the resident was admitted to the facility on [DATE] with diagnoses that included respiratory failure (condition when the lungs cannot get enough oxygen into the blood).

During a review of Resident 6' s Minimum Data Set (MDS, a federally mandated resident assessment tool), dated 1/09/2025, the MDS indicated Resident 6 was severely impaired in cognition (the process of acquiring knowledge and understanding through thought, experience, and the senses) with skills required for daily decision making.

The MDS indicated Resident 6 was dependent on staff for oral hygiene, toileting, dressing, and personal hygiene.

During a review of Resident 6's Physician's Orders, the documents indicated the following orders:

- Hydrocodone acetaminophen tablet (brand name is Norco, a narcotic pain medication) 10-325 milligrams (mg, a unit of measure), give one tablet by gastrostomy tube (G-Tube, a plastic tube inserted into the stomach to give medications for those with difficulty swallowing) every four hours as needed (PRN, or pro re nata, Latin for as needed) for severe pain 7-10, (numeric pain scale in which a resident's pain is indicated with zero being no pain and 10 for the worst pain imaginable), dated 7/24/2024.

During a review of Resident 6's CDR, the document indicated the medication Norco was removed from the blister pack (or called bubble pack, a card that packages doses of medication within small, clear, plastic bubbles [or blisters] that is punched out to administer to a resident) on the following dates:

1/28/2025 at 4:20 a.m.

1/26/2025 at 6 a.m.

1/24/2025 at 6 a.m.

1/23/2025 at 11 p.m.

555217

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 555217 B.

Wing 01/30/2025

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

Pacifica Hospital of the Valley Dp Snf 9449 San Fernando Road Sun Valley, CA 91352

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 SUN VALLEY, 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 PACIFICA HOSPITAL OF THE VALLEY DP SNF or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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