Skilled nursing facility · CMS certification number 555074
Providence Holy Cross Med Ctr D/P SNF
MISSION HILLS, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 48
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $97,923.00 · Payment denials: 0. The most recent penalty on file: April 14, 2024, Fine, $97,923. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ANDERSON, DONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/20/2016 |
| ELMOUCHI, DARRYL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2025 |
| HOFFMAN, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2020 |
| KELL, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2026 |
| KLEIN, BERNARD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2013 |
| MARTIN, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/13/2023 |
| NEWSOM, ANNA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/13/2022 |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/21/2026 |
| SANI AND ESHAGHIAN MD INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/21/2026 |
| SANI, SASAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/14/2023 |
| BLAIR, RICHARD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2016 |
| BUCK, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| CRAWFORD, ISIAAH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/01/2012 |
| DUFAULT, KARIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| HEJNA, DIANE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2016 |
| HUGHES, PHYLLIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2016 |
| KINGSTON, MARY BETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2022 |
| LYONS, MARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2016 |
| MARKHAM, DONNA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| MURPHY, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2020 |
| O'QUINN, MARVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| RIOJAS, ROGELIO | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| SORENSON, CHARLES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2019 |
| SPRUNK, ERIC | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2022 |
| ANDERSON, DONALD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/20/2016 |
| ELMOUCHI, DARRYL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2025 |
| HOFFMAN, GREGORY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2020 |
| MARTIN, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/13/2023 |
| NEWSOM, ANNA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/13/2022 |
| ANDERSON, DONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/20/2016 |
| BLAIR, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2016 |
| BUCK, LINDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| CRAWFORD, ISIAAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2012 |
| DUFAULT, KARIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| ELMOUCHI, DARRYL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2025 |
| HEJNA, DIANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2016 |
| HOFFMAN, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2020 |
| HUGHES, PHYLLIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2016 |
| KELL, JASON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2026 |
| KINGSTON, MARY BETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
| KLEIN, BERNARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2013 |
| LYONS, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2016 |
| MARKHAM, DONNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| MARTIN, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/13/2023 |
| MURPHY, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| NEWSOM, ANNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/13/2022 |
| O'QUINN, MARVIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| PROVIDENCE HEALTH & SERVICES | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2016 |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/08/2012 |
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1966 |
| PROVIDENCE ST. JOSEPH HEALTH | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2016 |
| RIOJAS, ROGELIO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| SANI AND ESHAGHIAN MD INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/14/2023 |
| SANI, SASAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/14/2023 |
| SORENSON, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| SPRUNK, ERIC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA (enrollment ID O20061214000035).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/1966 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANNA R NEWSOM | Individual | ADP OF THE SNF | Not stated in the filing | 5/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BERNARD JAY KLEIN | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARRYL ELMOUCHI | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONALD WAYNE ANDERSON | Individual | ADP OF THE SNF | Not stated in the filing | 12/20/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY DAVID HOFFMAN | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES MARTIN | Individual | ADP OF THE SNF | Not stated in the filing | 1/13/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON KELL | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | Organization | ADP OF THE SNF | Not stated in the filing | 4/21/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| SANI AND ESHAGHIAN MD INC | Organization | ADP OF THE SNF | Not stated in the filing | 4/21/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| SASAN SANI | Individual | ADP OF THE SNF | Not stated in the filing | 10/14/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 11/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHARLES WALLACE SORENSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANE L HEJNA | Individual | CORPORATE DIRECTOR | 0 | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONNA MARKHAM | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC D SPRUNK | Individual | CORPORATE DIRECTOR | 0 | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ISIAAH D CRAWFORD | Individual | CORPORATE DIRECTOR | 0 | 2/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARIN DUFAULT | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA BUCK | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARVIN O'QUINN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY BETH KINGSTON | Individual | CORPORATE DIRECTOR | 0 | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY E LYONS | Individual | CORPORATE DIRECTOR | 0 | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL W MURPHY | Individual | CORPORATE DIRECTOR | 0 | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PHYLLIS M HUGHES | Individual | CORPORATE DIRECTOR | 0 | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD S BLAIR | Individual | CORPORATE DIRECTOR | 0 | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROGELIO RIOJAS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANNA R NEWSOM | Individual | CORPORATE OFFICER | 0 | 5/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARRYL ELMOUCHI | Individual | CORPORATE OFFICER | 0 | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONALD WAYNE ANDERSON | Individual | CORPORATE OFFICER | 0 | 12/20/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY DAVID HOFFMAN | Individual | CORPORATE OFFICER | 0 | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES MARTIN | Individual | CORPORATE OFFICER | 0 | 1/13/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANNA R NEWSOM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BERNARD JAY KLEIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES WALLACE SORENSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARRYL ELMOUCHI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANE L HEJNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONALD WAYNE ANDERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/20/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONNA MARKHAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC D SPRUNK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY DAVID HOFFMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ISIAAH D CRAWFORD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES MARTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/13/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON KELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARIN DUFAULT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA BUCK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARVIN O'QUINN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY BETH KINGSTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY E LYONS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL W MURPHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PHYLLIS M HUGHES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PROVIDENCE HEALTH & SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/8/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/1966 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE ST. JOSEPH HEALTH | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| RICHARD S BLAIR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROGELIO RIOJAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SANI AND ESHAGHIAN MD INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/14/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SASAN SANI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/14/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TIMOTHY ROHAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROVIDENCE HEALTH & SERVICES no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SASAN SANI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BERNARD JAY KLEIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES D WATSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GLENDA PICKETT-LYONS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERIK WEXLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAROL ELIZABETH PACINI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANI AND ESHAGHIAN MD INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 21, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANI AND ESHAGHIAN MD INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KARIN DUFAULT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KARIN DUFAULT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DARRYL ELMOUCHI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DARRYL ELMOUCHI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DARRYL ELMOUCHI (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANNA R NEWSOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANNA R NEWSOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERIC D SPRUNK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARY BETH KINGSTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROVIDENCE HEALTH & SERVICES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL W MURPHY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DONNA MARKHAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SASAN SANI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SASAN SANI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BERNARD JAY KLEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BERNARD JAY KLEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ISIAAH D CRAWFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GREGORY DAVID HOFFMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GREGORY DAVID HOFFMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARVIN O'QUINN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DONALD WAYNE ANDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 20, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DONALD WAYNE ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 20, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHARLES WALLACE SORENSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES MARTIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROGELIO RIOJAS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROGELIO RIOJAS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PHYLLIS M HUGHES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S BLAIR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARY E LYONS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DIANE L HEJNA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 1966. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROVIDENCE HEALTH & SERVICES - WASHINGTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 21, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JASON KELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JASON KELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LINDA BUCK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LINDA BUCK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2024: TIMOTHY ROHAN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since April 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: DONNA J MARKHAM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: SASAN SANI (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since July 27, 2016. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MARVIN R O'QUINN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- June 15, 2023: KEVIN PATRICK MANEMANN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: DAVID M OLSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: LUCILLE M DEAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: ERIK GOLDSCHMIDT WEXLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: JOHN WHIPPLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: GLENN BALES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: JO ANN ESCASA-HAIGH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: ANNA R NEWSOM (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: ERIC D SPRUNK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: MARY BETH KINGSTON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: JAMES MARTIN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: GLENDA PICKETT-LYONS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- June 15, 2023: ERIK WEXLER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Recent changes on this record
- July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TIMOTHY ROHAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROVIDENCE HEALTH & SERVICES no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SASAN SANI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BERNARD JAY KLEIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES D WATSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GLENDA PICKETT-LYONS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERIK WEXLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAROL ELIZABETH PACINI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANI AND ESHAGHIAN MD INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 21, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANI AND ESHAGHIAN MD INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KARIN DUFAULT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KARIN DUFAULT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DARRYL ELMOUCHI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DARRYL ELMOUCHI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DARRYL ELMOUCHI (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANNA R NEWSOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANNA R NEWSOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ERIC D SPRUNK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARY BETH KINGSTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROVIDENCE HEALTH & SERVICES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL W MURPHY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DONNA MARKHAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SASAN SANI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SASAN SANI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BERNARD JAY KLEIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BERNARD JAY KLEIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ISIAAH D CRAWFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GREGORY DAVID HOFFMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GREGORY DAVID HOFFMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARVIN O'QUINN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DONALD WAYNE ANDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 20, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DONALD WAYNE ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 20, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CHARLES WALLACE SORENSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES MARTIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JAMES MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROGELIO RIOJAS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ROGELIO RIOJAS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 27, 2026 | March 27, 2026 | 13 | 4 |
| 2 | March 27, 2025 | March 27, 2025 | 17 | 1 |
| 3 | April 14, 2024 | April 14, 2024 | 18 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
48 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 27, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0693 | Quality of Life and Care Deficiencies | 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. | D | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | B | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 17, 2026 |
| March 27, 2026 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | April 17, 2026 |
| December 11, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | K | Yes | Deficient, Provider has date of correction | January 14, 2026 |
| March 27, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | B | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | 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. | E | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | April 26, 2025 |
| March 27, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | April 26, 2025 |
| April 14, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | B | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | 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. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 6, 2024 |
| April 14, 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | May 6, 2024 |
| September 29, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | October 15, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 14, 2024 | Fine | $97,923 | 130976 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-10-01 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 8188984630 |
| Chain Name | PROVIDENCE HEALTH & SERVICES |
| Chain ID | 430 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 48 |
| Average Number of Residents per Day | 45.6 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Providence Holy Cross Med Ctr D/P SNF: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 1, 2026: PROVIDENCE ST. JOSEPH HEALTH no longer appears as OTHER in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Providence Holy Cross Med Ctr D/P SNF
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555074.