Deficiency Index

Encino Hospital Medical Center D/P SNF

Encino, California · CCN 555380

23 surveys since 2010. The first finding at harm level was recorded in 2021.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
95
Surveys
23
Harm or worse
2
Immediate jeopardy
2
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/23

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
28
Ownership
For profit - Corporation
Chain
PRIME HEALTHCARE
County
Los Angeles
Medicare-certified since
1989

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 252 for-profit facilities with fewer than 66 beds in California.

Last survey on record

Dec 4, 2025

340 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day7.624.36
Registered-nurse hours per resident day2.18—
Annual nurse turnover32.7%36.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L14.0%
Actual harmG—H—I—
No harm, potential for more than minimalD2184.0%E312.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 25 of the 95 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5502×

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

  • F5512×

    Give the resident's representative the ability to exercise the resident's rights.

  • F6092×

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

In the surveyor’s words

From the most serious findings on record at Encino Hospital Medical Center D/P SNF, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF584Jul 27, 2023

    Based on observation, interview, and record review, the facility failed to: 1. Maintain comfortable and acceptable room temperature (ambient air temperature) ranging from 71 to 81 degrees Fahrenheit ( F, unit of temperature). 2. Maintain the compressor (the driving unit of a chiller system) for one of two chillers in working condition. A chiller is a cooling water circulation device that is connected to the air conditioning (A/C) system. 3. Monitor room temperatures and retain records of temperature checks. These deficiencies affected the entire 4th floor of the facility, where 27 of 27 Sub-Acute (a medical facility that provides medical care to chronically ill patients who are medically stable) residents were residing. […]

  • Immediate jeopardy, widespreadF880Mar 11, 2021

    Based on observation, interview, and record review, the facility failed to properly screen visitors and employees to prevent and control the spread of COVID-19 (coronavirus disease 2019, a serious disease resulting from a new virus that spreads easily from person to person) in accordance with the local Public Health guidelines and facility policy & procedure. This deficient practice had the potential to result in the spread of COVID-19, placing all 24 of 24 residents in the facility and all staff at risk for COVID-19 infection that could lead to severe respiratory illness, hospitalization , and/or death. […]

  • No harm, potential for more than minimal, patternF812Dec 4, 2025

    Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage and food preparation practices in the kitchen when: a. A plastic scoop was left in a food bin, in the dry storage area, during the initial kitchen tour. b. The facility failed to ensure food was labeled with a date, stored correctly and disposed of upon expiration. These failures had the potential to result in harmful bacteria growth and cross contamination (a transfer of harmful bacteria from one place to another or one object to another) that could lead to foodborne illness (illness caused by food contaminated with bacteria, viruses, and other toxins) in three of three medically compromised residents who received food from the kitchen. Findings: a. […]

  • No harm, potential for more than minimal, patternF761Jan 7, 2024

    Based on observation, interview, and record review, the facility failed to: 1. Ensure there were no expired medications and supplies inside one of one medication storage room. This deficient practice had the potential to result in the use of expired care items for resident's care. 2. Ensure Licensed Vocational Nurse 2 (LVN 2) did not leave one of two medication carts unlocked while unattended during medication administration observation. This deficient practice placed residents or unauthorized personnel at risk of accessing the medications. 3. […]

  • No harm, potential for more than minimal, patternF880Jan 7, 2024

    Based on observation, interview, and record review, the facility failed to: 1. Ensure irrigation bottles (contains water intended to flush [infuse] a feeding tube [also known as a G-tube- a tube inserted through the belly that brings nutrition and medication directly to the stomach] or help in cleansing cavities and wounds) at the residents' bedside were labeled with the date and time of when it was last changed for three of five sampled residents (Residents 1, 21, and 18) investigated for infection control. 2. Ensure Licensed Vocational Nurse 2 (LVN 2) performed hand hygiene before and after administering medications for one of four sampled residents (Resident 25) observed during the medication administration task. 3. […]

Read 22 findings in full →The most serious and the most recent: 22 of 95 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 4, 2025Standard4 findings
  • Dec 20, 2024Complaint2 findings
  • Dec 4, 2024Standard5 findings
  • Oct 11, 2024Complaint1 finding
  • Mar 19, 2024Complaint2 findings
  • Jan 30, 2024Complaint1 finding
  • Jan 7, 2024Standard8 findings
  • Sep 29, 2023Complaint1 finding
Show the 15 earlier surveys
  • Jul 27, 2023Complaint1 finding · 1 harm
  • Jan 6, 2023Standard10 findings
  • Jul 6, 2022Complaint1 finding
  • Mar 11, 2021Infection control1 finding · 1 harm
  • Jan 25, 2021Infection control2 findings
  • Nov 21, 2019Standard4 findings
  • Dec 2, 2018Standard7 findings
  • Mar 14, 2018Complaint1 finding
  • Jan 28, 2018Standard4 findings
  • Jan 15, 2017Standard7 findings
  • Oct 4, 2015Standard4 findings
  • Jun 22, 2014Standard8 findings
  • Mar 10, 2013—8 findings
  • Dec 2, 2011—4 findings
  • Sep 3, 2010—9 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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