Deficiency Index

Providence St Elizabeth Care Center

North Hollywood, California · CCN 055192

42 surveys since 2011. The first finding at harm level was recorded in 2024.

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

Citations on record
178
Surveys
42
Harm or worse
4
Immediate jeopardy
4
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file29/42

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

The facility

Certified beds
52
Ownership
For profit - Limited Liability company
Chain
PROVIDENCE HEALTH & SERVICES
County
Los Angeles
Medicare-certified since
1973

CMS ratings

Overall
1
Health inspection
1
Staffing
4
Quality measures
4

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

Apr 2, 2026

221 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 day4.764.36
Registered-nurse hours per resident day0.85—
Annual nurse turnover27.8%36.4%

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

Enforcement

Fines
$54,032 across 2 penalties
Special focus
SFF Candidate

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ33.7%K11.2%L—
Actual harmG—H—I—
No harm, potential for more than minimalD4554.9%E2530.5%F—
No harm, potential for minimalA—B89.8%C—
CMS’s current file: 82 of the 178 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7555×

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

  • F6564×

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

  • F8804×

    Provide and implement an infection prevention and control program.

  • F9124×

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • F5843×

    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.

In the surveyor’s words

From the most serious findings on record at Providence St Elizabeth Care Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF759Jan 2, 2026

    Based on observation, interview, and record review, the facility failed to ensure its medication error rate was below five (5) percent (%) for two of five sampled residents (Residents 1 and 69) during the Medication Administration Facility Task conducted on 12/30/2025. The facility had seven (7) medication errors out of 29 observed opportunities on 12/30/2025 during the 9 a.m. routine medication pass (a structured process of administering medications to ensure residents receive medications safely, accurately, and timely), resulting in an overall medication error rate of 24.14%. The facility failed to:1. […]

  • Immediate jeopardy, isolatedF760Jan 2, 2026

    Based on observation, interview, and record review, the facility failed to: 1. Ensure one of five sampled residents (Resident 1) was free of any significant medication errors (the observed or identified preparation or administration of medications which are not in accordance with the prescriber's order, manufacturer's specifications, and accepted professional standards) when the facility failed to:A. Obtain a physician's order to crush Resident 1's medications for administration via gastrostomy tube (g-tube, also known as an enteral tube - a soft tube inserted through the abdominal wall directly into the stomach, providing a way to deliver nutrition, fluids and medicine for individuals with swallowing difficulties). B. […]

  • Immediate jeopardy, isolatedF755Oct 4, 2024

    Based on observation, interview, and record review, the facility failed to: 1. Reorder medications five (5) days in advance of need to assure an adequate supply was on hand (current availability) as per facility policy for two (2) of four (4) sampled residents (Resident 5 and 31) observed during the Medication Administration facility task. 2. Follow-up for delivery and availability of medications for two (2) of four (4) sampled residents (Resident 5 and 31) observed during the Medication Administration facility task. 3. […]

  • Immediate jeopardy, isolatedF759Oct 4, 2024

    Based on observation, interview, and record review, the facility failed to maintain a medication error rate below five (5) percent (% - unit of measure) by having seven (7) medication errors out of 26 medication administration opportunities contributing to an overall error rate of 26.92% affecting two (2) of four (4) sampled residents (Resident 5 and 31) observed during the Medication Administration facility task. The medication errors were as follows: 1. Resident 5 did not receive the following medications as ordered by Resident 5's physician: - two (2) doses on [DATE] at 9 a.m. and 5 p.m. of metoprolol (a medication used to for hypertension [a condition in which the blood vessels have persistently raised pressure]) - one (1) dose on [DATE] at 8 a.m. […]

  • No harm, potential for more than minimal, widespreadF727Nov 19, 2021

    Based on interview and record review, the facility failed to employ a full time (working 35 or more hours a week) Director of Nursing (DON) or a Registered Nurse (RN) Designee to serve as a DON on a full-time basis from 9/11/2021 to 9/20/2021. This deficient practice has the potential to affect the quality of care, quality of life, and health and safety of all the residents that resided in the facility. Findings: During an interview on 9/24/2021 at 10:58 a.m. with the Administrator (ADM), ADM stated that the previous Director of Nursing's (DON 1) last day of work for the facility was on was 9/10/2021. Administrator stated that the new Director of Nursing (DON 2) started their first day onsite on 9/21/2021. […]

Read 22 findings in full →The most serious and the most recent: 22 of 178 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 2, 2026Complaint2 findings
  • Jan 12, 2026Complaint6 findings
  • Jan 2, 2026Standard21 findings · 2 harm
  • Dec 10, 2025Complaint1 finding
  • Dec 4, 2025Complaint1 finding
  • Nov 25, 2025Complaint1 finding
  • Oct 4, 2024Standard22 findings · 2 harm
  • Aug 26, 2024Complaint3 findings
Show the 34 earlier surveys
  • Jan 11, 2024Complaint1 finding
  • Oct 15, 2023Standard19 findings
  • Sep 25, 2023Complaint1 finding
  • Aug 21, 2023Complaint2 findings
  • Jul 18, 2023Complaint2 findings
  • Jun 8, 2023Complaint2 findings
  • Mar 13, 2023Infection control2 findings
  • Dec 5, 2022Complaint1 finding
  • Nov 28, 2022Complaint2 findings
  • Sep 21, 2022Complaint2 findings
  • Aug 4, 2022Complaint3 findings
  • Feb 4, 2022Complaint1 finding
  • Jan 15, 2022Complaint1 finding
  • Dec 17, 2021Standard8 findings
  • Nov 19, 2021Complaint2 findings
  • Oct 26, 2021Complaint1 finding
  • Sep 28, 2021Complaint1 finding
  • Sep 4, 2021Complaint1 finding
  • Mar 24, 2021Infection control2 findings
  • Jan 21, 2021Infection control1 finding
  • Jan 19, 2021Infection control1 finding
  • Nov 17, 2020Complaint1 finding
  • Sep 8, 2020Complaint2 findings
  • May 4, 2020Complaint1 finding
  • May 29, 2019Standard5 findings
  • May 17, 2019Complaint2 findings
  • May 18, 2018Standard7 findings
  • May 14, 2017Standard6 findings
  • Aug 6, 2016Standard7 findings
  • May 12, 2016Complaint2 findings
  • Jun 13, 2015Standard7 findings
  • Mar 9, 2014Standard10 findings
  • Nov 16, 2012—9 findings
  • Oct 16, 2011—6 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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction