Home / California / Sunland
10158 Sunland Blvd, Sunland, CA 91040 · Los Angeles County · (818) 353-7800
67 certified beds, about 65 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 555045 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 18, 2025, inspectors cited 11 health deficiencies (the California average is 15.6, the national average 9.2).
None of its 44 health citations since November 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.14 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
14.8% of nursing staff left within the year CMS measured (California average 36.7%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 44 health citations on file.
Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Replace two (2) open used medication emergency kits ([eKIT] - storage container for emergency use medications) within 72 hours of opening the kit on 2/13/2025, and one (1) open used medication eKIT within 72 hours of opening the kit on 2/13/2025, in two (2) of two (2) inspected Medication Rooms (Medication Room Station 1 and Medication Room Station 2.)2. Reconcile (the process of comparing transactions and activity to supporting documentation) two (2) medication eKITs containing Controlled Drugs ([CD]- medications which have a potential for abuse and may also lead to physical or psychological dependence) for December 2025, in two (2) of two (2) inspected Medication Rooms (Medication Room Station 1 and Medication Room Station 2.)3. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the safe and appropriate use of side rails (adjustable rigid plastic or metal bars attached to the bed that may be positioned in various locations on the bed; upper or lower, either or both sides) for two of three sampled residents (Residents 9 and 11) reviewed under restraints care area by failing to: 1. Ensure the facility conducted an accurate assessment of Resident 9's side rails and obtained an informed consent for the correct type of side rails, as the assessment and the informed consent did not reflect the type of side rails the resident was using. This failure had the potential to result in Resident 9 experiencing psychosocial harm and physical harm from entrapment (becoming caught between the rails and the mattress). 2. a. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that its medication error rate was less than five (5) percent (%). Four (4) medication errors out of 24 total opportunities contributed to an overall medication error rate of 14.28% affecting two (2) of four (4) residents observed for medication administration (Resident 6 and 43.) The medication errors were as follows: 1. Resident 6 received ferrous sulfate (a supplement used to treat iron deficiency [having low amounts of iron in the blood] and anemia [a condition with lower-than-normal number of red blood cells,]) at a different time than ordered by Resident 6's physician. 2. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Monitor and record the medication room temperature on the temperature monitoring log for December 2025, for two (2) of two (2) inspected Medication Rooms (Medication Room Station 1 and Medication Room Station 2.) 2. Remove and discard from use two (2) expired Calcium with Vitamin D (medications used as supplements) medication bottles for facility use, in accordance with manufacturer's requirements and facility policy and procedures, in one (1) of two (2) inspected Medication Rooms (Medication Room Station 2.) These failures increased the potential for residents in the facility to receive medications that were ineffective or toxic due to the inadequate storage monitoring, and for residents to experience medication adverse consequences resulting in the negative impact to their health and well-being.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the Infection Preventionist (IP) checked the contents of a meal tray against diet ticket (slip of paper that indicates the specific meal being served to a resident based on their dietary restriction and preference, is placed by the enclosed plate on a tray) and physician's orders during lunch on 12/15/2025 for five (2, 14, 34, 43 and 45) of 63 residents who received food in the facility. This deficient practice had the potential for residents to not receive the correct prescribed diet, which could lead to health complications such as aspiration (the inhalation of foreign material such as food into the airways/lungs) and anaphylactic shock (severe, life-threatening allergic reaction that occurs rapidly after exposure to an allergen [such as certain foods, medications, or insect stings]).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure accurate medical records were maintained for two of 18 sampled residents (Residents 11 and 13) when:1. Resident 11's Side Rail Assessments form was altered without any indication of the date, time, or author. This failure resulted in the willful falsification of documentation related to Resident 11's side rails (adjustable rigid plastic or metal bars attached to the bed that may be positioned in various locations on the bed; upper or lower, either or both sides). 2. Resident 13's list of medical diagnoses was incomplete and did not reflect all current diagnoses. The failure resulted in not providing an accurate clinical overview of Resident 13's health status, which could have resulted in issues related to resident safety, quality of care and continuity of care.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents were treated with respect and dignity including the right to be free from physical restraints (any manual method, physical or mechanical device, material or equipment that is attached or adjacent to the resident's body that he or she cannot easily remove that restricts freedom of movement or normal access to one's body) for one out of three sampled residents (Residents 5) investigated during review of physical restraints care area by failing to obtain a physician's order and informed consent and develop and implement a care plan on the use of a gait belt fastened around Resident 5's waist and the wheelchair. [...]
Inspectors wroteBased on interview and record review, the facility failed to conduct an accurate Minimum Data Set (MDS - a standardized assessment and care screening tool) assessments for one (Resident 13) of five sampled residents by failing to ensure Resident 13's MDS reflect the resident's all current diagnoses. The failure resulted in not providing an accurate clinical overview of Resident 13's health status, which could have resulted in issues related to resident safety, quality of care and continuity of care.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents who were incontinent (lacks voluntary control over urination) of bladder (organ in the pelvis that stores urine) received appropriate treatment and services to prevent urinary tract infections (UTI, common infections that happen when bacteria infect the urinary tract) by failing to ensure the urinary catheter (a thin flexible tube that is inserted into the bladder to help drain urine) collection bag tubing was not looped or coiled to allow the urine to flow freely into the collection bag for one of two residents (Resident 62) reviewed under the urinary catheter care area. This failure had the potential to result in the backflow of urine into the resident's bladders, which can cause urinary tract infections (UTI- an infection in the bladder/urinary tract).
Inspectors wroteBased on observation, interview and record review, the facility failed to implement appropriate infection control practices for two of 18 sampled residents (Resident 12 and Resident 18) by failing to: a. Ensure Resident 12's foam bed rail padding could be properly cleaned and disinfected. This failure had the potential to result in Resident 12 to come into contact with infectious pathogens (a biological agent, like a virus, bacterium, fungus, or parasite, that can cause illness) and acquire an infection due to lack of adequate disinfection of the surrounding environment. b. Ensure intravenous access (IV, a medical technique that administers fluids and medications directly into a person's vein) dressing was labeled with the insertion date. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to meet the requirement of 80 square feet (sq. ft., a unit of measure) per resident in multiple resident bedrooms for 27 of 28 resident rooms (room [ROOM NUMBER], 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15, 16, 17, 18, 19, 21, 23, 24, 25, 26, 27, 28, 29, and 30). This deficient practice had the potential to result in inadequate space for safe nursing care and privacy for the residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide dignity and respect for two out of two sampled residents (Resident 18 and 49) when: 1. Restorative Nursing Assistant 1 (RNA 1, a staff who is trained in activities to help residents with limited mobility and abilities) was observed standing over Resident 49 while assisting Resident 49 with eating. 2. Certified Nursing Assistant 3 (CNA 3, a staff who is trained in providing basic, hands-on patient care) was observed standing over Resident 18 while assisting Resident 18 with eating. These failures had the potential to negatively affect Resident 49's and Resident 18's self-esteem and self-worth during mealtimes in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident call light (an alerting device for nurses or other nursing personnel to assist a resident when in need) was within accessible reach of the resident from for two of two sampled residents (Resident 23 and Resident 59) in the facility. This failure had the potential for residents in the facility to be unable to summon facility staff for help, as needed, which could have resulted in resident discomfort and/or harm due to the residents' inability to reliably call facility staff for help.
Inspectors wroteBased on interview and record review, the facility failed to ensure licensed nurses provided non-pharmacological interventions prior to administering an as needed (prn) opioid medication on multiple days for two of two sampled residents (Resident 36 and Resident 61). These failures had the potential to result in Resident 36 and Resident 61 receiving unnecessary pain medications.
Inspectors wroteBased on interview and record review, the facility failed to ensure two of eight sampled residents were free from medication error by failing to ensure the Controlled Drug Record (CDR - accountability record of medications that are considered to have a strong potential for abuse) coincided with the Medication Administration Records (MAR - a report detailing the drugs administered to a patient by the licensed nurses) for two (Resident 36 & Resident 61) of four residents sampled during the medication storage observation. These failures had the potential to result in medication error and/or drug diversion (illegal distribution or abuse of prescription drug) in the facility.
Inspectors wroteBased on interview and record review, the facility failed to ensure the implementation of the Medication Regimen Review (MRR - a pharmacist's thorough evaluation of a resident's medication routine and recommendations) for two of three residents (Resident 49 and Resident 63). This failure could have resulted in preventable medication side effects, including up to bleeding, blood clotting, or seizures for Resident 49 and Resident 63.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents' drug regimens were free from unnecessary drugs, by failing to adequately monitor valproic acid and heparin for two of three residents (Resident 49 and Resident 63). This failure could have resulted in medication side effects leading up to bleeding, blood clotting, or seizures for Resident 49 and Resident 63.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free of any significant medication errors, when the facility continued to give medications without checking the therapeutic levels for two of three sampled residents (Residents 49 and Resident 63). This failure had the potential to result in bleeding, blood clots, or seizures for Resident 49 and Resident 63.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the storage of food in accordance with professional standards by not labeling stored food with a use-by date (the indicated date that the food item should be used or consumed by). These failures had the potential for 66 of 67 facility residents who receive food from the facility kitchen to be at risk for food borne illness (illness caused by food contamination with bacteria, viruses, parasites, or toxins).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure their trash was stored in the dumpster areas while being maintained in a sanitary manner. Two of two facility garbage dumpsters in use had their lids open. These failures had the potential for harborage and feeding of pests.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the implementation of their policy titled, Enhanced Barrier Precautions (EBP - an infection control method that uses targeted gown and gloves to reduce the spread of multidrug-resistant organisms [MDROs - microorganisms, mainly bacteria, that are resistant to one or more classes of antimicrobial [a substance that kills microorganisms such as bacteria or mold, or stops them from growing and causing disease agents]]) when: 1. Licensed Vocational Nurse 2 (LVN 2) did not don (to put on) a gown while administering medication via gastrostomy (G-Tube, a tube inserted through the abdomen that delivers directly to the stomach) for one of one sampled resident (Resident 48). 2. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure the residents' clinical records were updated regarding advance directives (written statement of a person's wishes regarding medical treatment made to ensure those wishes are carried out should the person be unable to communicate them to a doctor) for one of three sampled residents (Resident 59), by failing to maintain a current copy of the resident's advance directives in Resident 59's active clinical record. This failure had the potential to cause conflict with Resident 59's wishes regarding health care services received.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the activation of the correct setting of a Low Air Loss Mattress (LALM - a pressure-relieving mattress used to prevent and treat pressure injuries) for one of one sampled residents (Resident 59) requiring a LALM, when Resident 59 was investigated for pressure injury (PI - localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) care. This failure had the potential to place Resident 59 at risk for discomfort and development of avoidable pressure ulcers/injuries.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were stored in a locked compartment, when the Station Two Nursing Station Medication Cabinet did not have a lock, which permitted any staff or resident access. This failure had the potential for residents to take medications, which could cause harmful adverse side effects for the residents.
Inspectors wroteF912 Based on observation, interview, and record review, the facility failed to meet the requirement of 80 square feet (SF, a unit of measure) per resident in multiple resident bedrooms for 15 of 28 resident rooms (room [ROOM NUMBER], 2, 7, 8, 9, 10, 11, 12, 14, 15, 16, 17, 18, 19, and 21). This deficient practice had the potential to result in inadequate space for safe nursing care and privacy for the residents.
Inspectors wroteBased on interview and record review the facility failed to provide the necessary care and services in accordance with its policy and procedure for one of three sample residents (Resident 1), as evidenced by: 1. Failing to schedule an appointment for follow up care with cardiology (branch of medicine that specializes in diagnosing and treating diseases of the heart and blood vessels) within two weeks (per instructions from the General Acute Care Hospital [GACH]) after being re-admitted to the facility on [DATE] and within one week (per instructions from the GACH) after being re-admitted to the facility on [DATE]. 2. [...]
Inspectors wroteBased on interview and record review, the facility failed to develop a comprehensive person-centered care plan (a plan for an individual's specific health needs and desired health outcomes) to address a diagnosis of heart failure (a condition in which the heart doesn't pump blood as well as it should) for one of three sampled residents (Resident 1). This deficient practice had the potential to negatively affect the delivery of care and services to Resident 1 due to the absence of the comprehensive care plan.
Inspectors wroteBased on interview and record review, the facility failed to ensure the history and physical (H&P- is the starting point of the resident health concerns that explain why a resident sought medical attention or why a resident is now receiving medical attention) for one of three sampled residents (Resident 1) was completed by the attending physician upon Resident 1 ' s first admission to the facility on [DATE]. This deficient practice had the potential for inconsistent care coordination due to incomplete records.
Inspectors wroteBased on interview and record review, the facility failed to implement their facility ' s medication administration policy by failing to ensure Licensed Vocational Nurse 1 (LVN 1) signed and documented on the Medication Administration Record (MAR- a report detailing the medications administered to a resident by a healthcare professional) for one of three sampled residents (Resident 1) when LVN 1 did not administer Plavix (a medication used to prevent stroke and blood clots) on 12/21/2023. This deficient practice had the potential to result in medication errors and had the potential to result in confusion on the delivery of care and services.
Inspectors wroteBased on interview and record review, the facility failed to implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act by failing to report within two (2) hours to the State Survey Agency (SSA) one incident of injury of unknown origin (injuries resulting without knowing how it happened) that occurred on 3/6/2024 for one of four sampled residents (Resident 1). This deficient practice resulted in a delay of an onsite inspection by the SSA to ensure the safety of the other residents and had the potential to result in unidentified abuse.
Inspectors wroteBased on interview, and record review, the facility failed to ensure licensed nurses administered the prescribed dose of Clozaril (an Antipsychotic medication [medications that are used for some types of mental distress or disorder] to treat schizophrenia [a serious mental illness that affects how a person thinks, feels, and behaves]) 200 milligrams (mg-unit of measure) to one of nine sampled residents (Resident 1) from 11/23/2023 to 1/29/2024. Resident 1 was administered a total of 31 incorrect (higher than prescribed) doses of Clozaril. The deficient practice of failing to administer medications in accordance with physician's orders placed Resident 1 at risk for serious health complications as a result of being administered a higher dose of Clozaril than prescribed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an environment free from accidents and hazards by failing to: 1. Ensure that a resident who was at high risk for falls had their bed in a low position for one (Resident 44) of five sampled residents investigated for accidents. 2. Ensure the information for a resident's pacemaker (a small electrical device that's implanted in the chest or abdomen to help your heartbeat at a normal rate and rhythm) was readily available in the resident's medical record for one (Resident 9) of five sampled residents investigated for accidents. 3. Ensure that a licensed nurse did not leave a resident's blood pressure medication at the bedside for one (Resident 13) of five sampled residents investigated for accidents. 4. [...]
Inspectors wroteBased on interview and record review, the facility failed to: 1. Ensure licensed nurses followed up with the pharmacy when a resident's Isosorbide (a medication used to prevent angina [chest pain] in residents with a certain heart condition) medication had not been delivered for one (Resident 112) out of six sampled residents observed during medication administration. 2. Ensure licensed nurse staff documented either at the start of the shift, or the end of the shift on Medication Cart 2 Floor Narcotic (a type of medication that is used to relieve pain but has a high potential for abuse) Release form (a form that is signed by both the oncoming shift licensed nurse and the outgoing shift licensed nurse after they have both verified by counting that all controlled medications [medications that can cause physical and mental dependence such as narcotics]) for 12 of 127 shifts. 3. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to: 1. Ensure medication bubble packs (packaging in which medications are organized and sealed between a cardboard backing and clear plastic cover) were not stored in an unlocked drawer in Nursing Station 2 for two of two sampled residents (Resident 26 and Resident 34) investigated for Medication Storage and Labeling. 2. Label one open vial (small container) of glucometer test strips (an absorbent strip that soaks up blood to be read by the glucometer [medical device used for determining the approximate concentration of sugar in the blood]) found in one of two medication carts (Nursing Station 2 Medication Cart) investigated during the facility task Medication Storage and Labeling. [...]
Inspectors wroteBased on observation, interview, and record review, the kitchen staff failed to ensure the proper storage, preparation, and distribution of food in accordance with professional standards for food service safety for 60 of 61 residents who receive food from the kitchen by: 1. Failing to ensure food items such as ham, cups of wild berry frozen desserts, lemons, apples, cheese, yogurt, and milk were labeled and dated with the received and/or open date (when staff write on the item the date it was received or the date it was first opened). 2. Failing to ensure the Meat Freezer temperature was maintained below 0 degrees Fahrenheit (?, a unit of measurement) for 16 of 31 logged temperature checks for 10/2023. 3. [...]
Inspectors wroteBased on interview and record review, the facility failed to implement infection control practices by: 1. Failing to ensure a resident's oxygen tubing (connects to an oxygen source to deliver oxygen to a resident) was labeled with the date it was last changed and was kept off the floor for one (Resident 110) of five sampled residents investigated for infection control. 2. Failing to ensure that, the wound treatment nurse (Licensed Vocational Nurse 1 [LVN 1]), who was observed wearing two sets of gloves on at the same time, performed hand hygiene (washing of hands) when removing one set of gloves during a wound care dressing (sterile [free from germs] pad applied to a wound to promote healing and protect the wound from infection) change observation for two (Residents 47 and Resident 16) of five sampled residents investigated for infection control. 3. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure it followed its policy and procedure for the implementation of the physical restraint (the use of a manual hold or device to restrict freedom of movement of all or part of a resident's body) of a soft belt (a foam-padded pelvic restraint with ties secured around the back of wheelchair designed to help prevent forward sliding in wheelchairs) for one of one sampled resident investigated for restraints (Resident 38) by failing to: 1. Ensure informed consent (the process in which a health care provider educates a resident about the risks, benefits, and alternatives of a given procedure or intervention and ensures that a decision is made voluntarily) was obtained by the physician for Resident 38's soft belt restraint. 2. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to develop a comprehensive person-centered care plan (a plan for an individual's specific health needs and desired health outcomes) for two of 17 sampled residents (Resident 9 and Resident 38) by failing to: 1. Ensure a care plan for oxygen therapy (a treatment that provides extra oxygen to help people with lung diseases or breathing problems) was developed for Resident 9. 2. Ensure a care plan for Resident 9's pacemaker (a small electrical device that's implanted in the chest or abdomen to help your heartbeat at a normal rate and rhythm) was developed. 3. Ensure a care plan for the use of a soft belt restraint (a foam-padded pelvic restraint with ties secured around the back of wheelchair designed to help prevent forward sliding in wheelchairs) was developed for Resident 38. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident receiving oxygen had a physician's order for oxygen therapy (a treatment that provides extra oxygen to help people with lung diseases or breathing problems) for one of one sampled resident (Resident 9) investigated for oxygen therapy. This deficient practice had the potential to result in Resident 9 experiencing adverse effects due to inadequate or higher than necessary rates of oxygen administration leading to a negative impact to the resident's overall health.
Inspectors wroteBased on interview and record review, the facility failed to ensure one of five sampled residents (Resident 38) was free from unnecessary psychotropic medication (medications capable of affecting the mind, emotions, and behavior) by failing to limit the duration of an as needed (PRN) order for Ativan (a controlled substance [medication with a high potential for abuse] used to treat anxiety [intense, excessive, and persistent worry and fear about everyday situations]) to 14 days. This deficient practice had the potential to result in adverse reaction or impairment in the resident's mental or physical condition.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident received his Isosorbide (a medication used for high blood pressure that works by dilating [widens] blood vessels) medication for 12 days as ordered by the physician for one (Resident 112) of six sampled residents observed during medication administration. This deficient practice had the potential to place Resident 112 at increased risk of experiencing adverse effects, such as uncontrolled blood pressure, from not receiving his blood pressure medication.
Inspectors wroteBased on interview and record review, the facility failed to maintain complete and accurate medical records for two of six sampled residents (Resident 112 and Resident 14) by: 1. Failing to ensure licensed nurses did not sign on the Medication Administration Record (MAR - a report detailing the drugs administered to a patient by a healthcare professional) when a resident's Isosorbide (used for the management of angina [chest pain]) medication was not available during medication administration observation. 2. Failing to ensure a licensed nurse did not sign on the MAR when a resident's Apixaban (medication that helps to prevent blood clots) was not available during medication administration observation. These deficient practices resulted in Resident 112 and Resident 14's medical records being inaccurate and not in accordance with professional standards of practice; [...]
Inspectors wroteBased on observation, interview and record review, the facility failed ensure that 15 of 28 resident rooms met the square footage requirement of 80 square feet (sq. ft. - unit of measure) per resident. This deficient practice had the potential to result in inadequate space to provide safe nursing care and privacy for the resident.
Inspectors wroteBased on interview and record review, the facility failed to develop and or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act by failing to report to the State Survey Agency (SSA, the Department) two incidents of injuries of unknown origin (injuries resulting without knowing how it happened), which occurred on 3/5/2023 and 7/22/2023 for one of three sampled residents (Resident 1). These deficient practices resulted in a delay of an onsite inspection by the SSA to ensure the safety of the other residents and had the potential to result in unidentified abuse.
28 fire safety citations on file: 6 on December 18, 2025, 7 on October 24, 2024, 15 on November 2, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | California | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.14 | 4.52 | 3.86 |
| Registered nurses | 0.76 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.75 | 4.09 | 3.42 |
| Nurse aides | 2.80 | ||
| Licensed practical nurses | 0.59 | ||
| Nursing staff turnover (share who left in a year) | 14.8% | 36.7% | 45.8% |
| Registered nurse turnover | 9.1% | 38.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.30 on weekdays and 3.75 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 4.14 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.14 | 0.76 | 4.30 | 3.75 | 4.5% | 0 of 90 | 65 |
| Oct to Dec 2025 | 4.14 | 0.74 | 4.29 | 3.77 | 4.5% | 0 of 92 | 66 |
| Jul to Sep 2025 | 4.29 | 0.75 | 4.44 | 3.90 | 4.3% | 0 of 92 | 64 |
| Apr to Jun 2025 | 4.14 | 0.74 | 4.28 | 3.79 | 5.2% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| California, Jan to Mar 2026 | 4.36 | 0.59 | 4.52 | 3.97 | 2.3% | 0.5% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| California, all employers | |||
| CNAs (nursing assistants) | $22.90 | $22.04 to $26.35 | 110,060 |
| LPNs and LVNs | $38.34 | $35.98 to $45.06 | 82,850 |
| Registered nurses | $67.44 | $58.87 to $83.25 | 338,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | California | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.9 | 10.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 8.8 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.5 | 9.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.9 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.3 | 12.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.5 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 0.0 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Hills Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (36.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
36.7% this home
Worse than the national rate
US median of homes 51.5% · California: 301 better, 190 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 77 eligible stays.
10.0% this home
No different from the national rate
US median of homes 10.7% · California: 10 better, 22 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 125 eligible stays.
7.3% this home
No different from the national rate
US median of homes 7.1% · California: 8 better, 48 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 96 eligible stays.
37.7% this home
Median of homes: California59.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 69 residents counted.
0.0% this home
Median of homes: California0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 84 residents counted.
0.0% this home
Median of homes: California0.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 84 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: California96.2% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SUNLAND SNF LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sunland Investments, LLC | 5% or greater direct ownership interest | Organization | 100% | 06/01/2019 |
| Berger, Ruth | 5% or greater indirect ownership interest | Individual | 50% | 06/01/2019 |
| Berger, Steven | 5% or greater indirect ownership interest | Individual | 50% | 06/01/2019 |
| Banafsheha, Rabie | Managing control - governing body | Individual | 06/01/2019 | |
| Citrus Administrative Services, Inc. | Operational/managerial control | Organization | 03/01/2015 | |
| Agesyan, Ani | Operational/managerial control | Individual | 06/22/2022 | |
| Bogikian, Azat | Operational/managerial control | Individual | 06/03/2019 | |
| Campos, Rosario | Operational/managerial control | Individual | 06/01/2019 | |
| Cortez, Ronald | Operational/managerial control | Individual | 06/07/2022 | |
| Ghazarian, Marianna | Operational/managerial control | Individual | 06/06/2017 | |
| Sahakyan, Narek | Operational/managerial control | Individual | 07/01/2017 | |
| Citrus Administrative Services, Inc. | Adp of the SNF | Organization | 03/28/2025 | |
| Sh Healthcare Property, LLC | Adp of the SNF | Organization | 07/01/2007 | |
| Shadow Hills Sublandlord, LLC | Adp of the SNF | Organization | 09/15/2025 | |
| Agesyan, Ani | Adp of the SNF | Individual | 06/22/2022 | |
| Bogikian, Azat | Adp of the SNF | Individual | 06/03/2019 | |
| Campos, Rosario | Adp of the SNF | Individual | 06/01/2019 | |
| Clarizio, Dino | Adp of the SNF | Individual | 07/01/2007 | |
| Clarizio, Michael | Adp of the SNF | Individual | 07/01/2007 | |
| Clarizio, Orlando | Adp of the SNF | Individual | 07/01/2007 | |
| Cortez, Ronald | Adp of the SNF | Individual | 06/07/2022 | |
| Ghazarian, Marianna | Adp of the SNF | Individual | 06/06/2017 | |
| Sahakyan, Narek | Adp of the SNF | Individual | 07/01/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its California inspection record.
These are the official offices in California. NursingHomeClear cannot take or act on complaints.