Deficiency Index

Totally Kids Specialty Healthcare - Sun Valley

Sun Valley, California · CCN 555815

30 surveys since 2011, 3 of them producing a finding at harm level or worse.

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

Citations on record
144
Surveys
30
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file25/30

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

The facility

Certified beds
45
Ownership
For profit - Corporation
Chain
Independent
County
Los Angeles
Medicare-certified since
2004

CMS ratings

Overall
3
Health inspection
2
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

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

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

Last survey on record

Jul 2, 2026

130 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 day10.424.36
Registered-nurse hours per resident day1.81—
Annual nurse turnover31.0%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—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2762.8%E1330.2%F24.7%
No harm, potential for minimalA—B12.3%C—
CMS’s current file: 43 of the 144 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

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

  • F6933×

    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.

  • 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.

  • F6772×

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

In the surveyor’s words

From the most serious findings on record at Totally Kids Specialty Healthcare - Sun Valley, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF851Dec 29, 2024

    Based on interview and record review, the facility failed to electronically submit direct care staffing information daily, based on payroll data in the first quarter of 2024. This deficient practice had the potential to not provide the required staffing to ensure residents' care and safety. Findings: During a review of the Certification and Survey Provider Enhanced Report (CASPER) payroll-based Journal (PBJ) Staffing Report, dated 1/1/2024 through 3/31/2024, the CASPER Report indicated that the facility failed to submit data for the first Quarter of 2024. During an interview on 12/29/202024 at 12:51 PM with the Financial Coordinator (FC), the FC stated that she submitted the Staffing Data report [NAME] Report every quarter for the year of 2024. […]

  • No harm, potential for more than minimal, widespreadF851Dec 18, 2023

    Based on interview and record review, the facility failed to electronically submit staffing information based on payroll data on a quarterly schedule to the Centers for Medicare & Medicaid Services (CMS) in 2022 for one of one fiscal (relating to a period of 12 months) quarter (Fiscal Quarter 4). The deficient practice prevented the provision of complete and accurate direct care staffing information to the public. Findings: During a concurrent interview and record review on 12/18/2023 at 6:30 p.m., with the Finance Coordinator (FC), reviewed the Payroll-Based Journal Staffing Data Report (PBJ-SDR) for fiscal quarter four (4) of 2022 (7/1/2022 to 9/30/2022). […]

  • No harm, potential for more than minimal, widespreadF563Sep 30, 2021

    Based on observation, interview, and record review, the facility failed to ensure visitations for all their residents census of 4 residents, who were all minors (under [AGE] years of age). This deficient practice violated residents' rights to visitation and placed them at risk of feeling abandoned by their families. Findings: On 8/28/2021 at 11:00 a.m., during an observation of signs posted at the facility's entrance door, indicated there was no visitation allowed at the time. […]

  • No harm, potential for more than minimal, widespreadF882Sep 30, 2021

    Based on observation, interview, and record review, the facility failed to ensure there was a full-time Infection Control Preventionist (IP) as per facility's Mitigation Plan policy for the Coronavirus Disease 2019 (COVID-19, a highly transmissible respiratory infection). This deficient practice had the potential for not ensuring infection control measures were developed and implemented. Findings: During an interview on 8/28/2921 at 12:12 p.m., Administrator (ADM) stated that the facility did not have an IP nurse since 7/9/2021. During an interview on 8/30/2021 at 10:08 a.m., Director of Nursing (DON) confirmed there was no full-time IP nurse, and the Director of Staff Development (DSD) was part-time IP. […]

  • No harm, potential for more than minimal, patternF552Feb 23, 2026

    Based on interview and record review, the facility failed to Inform the resident and/or the responsible party in advance regarding the risks and benefits of administration of a vaccine (a substance that helps the body learn how to fight a specific disease without causing the illness itself) for one of five sampled residents (Resident 3) reviewed during the Infection Control task. This deficient practice resulted in Resident 3 receiving the COVID-19 (a vaccine designed to induce immunity against SARS-CoV-2 [the virus responsible for coronavirus disease 2019]) vaccine without Resident 3's responsible party knowing the risks and benefits of the vaccine prior to administration. […]

Read 23 findings in full →The most serious and the most recent: 23 of 144 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 2, 2026Complaint2 findings
  • Mar 23, 2026Complaint1 finding
  • Feb 23, 2026Standard17 findings
  • Dec 29, 2024Standard12 findings
  • Dec 18, 2023Standard11 findings
  • May 5, 2023Complaint1 finding
  • Aug 8, 2022Complaint1 finding
  • Mar 1, 2022Infection control1 finding
Show the 22 earlier surveys
  • Dec 23, 2021Standard4 findings
  • Nov 9, 2021Complaint3 findings
  • Oct 28, 2021Complaint1 finding
  • Sep 30, 2021Infection control3 findings
  • Sep 9, 2021Infection control1 finding
  • Sep 7, 2021Infection control1 finding
  • Aug 10, 2021Complaint2 findings
  • Jul 2, 2019Standard5 findings
  • Dec 3, 2018Complaint2 findings
  • Jul 6, 2018Standard9 findings
  • Dec 26, 2017Complaint1 finding
  • Aug 15, 2017Complaint2 findings
  • Jul 15, 2017Standard7 findings
  • Jul 24, 2016Standard10 findings
  • Feb 25, 2016Complaint2 findings
  • May 12, 2015Standard12 findings
  • Jul 7, 2014Complaint1 finding · 1 harm
  • Jan 17, 2014—8 findings
  • Feb 20, 2013—1 finding · 1 harm
  • Feb 4, 2013—1 finding · 1 harm
  • Oct 6, 2012—11 findings
  • Jul 10, 2011—11 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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