Skilled nursing facility · CMS certification number 555848
PROVIDENCE LITTLE COMP OF MARY SUBACUTE CARE CTR
SAN PEDRO, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 125
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: $11,170.00 · Payment denials: 0. The most recent penalty on file: December 14, 2023, Fine, $11,170. 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 |
| GHATAN, BIJAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2014 |
| 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 |
| 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 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/14/2025 |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/14/2025 |
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/26/2007 |
| PROVIDENCE ST. JOSEPH HEALTH | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/14/2025 |
| RICKS, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/05/2023 |
| 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 01/01/2012 |
| 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 |
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/26/2007 |
| PROVIDENCE HEALTH & SERVICES | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 07/01/2016 |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/30/2008 |
| PROVIDENCE ST. JOSEPH HEALTH | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 07/01/2016 |
| 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 01/01/2012 |
| DUFAULT, KARIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| ELMOUCHI, DARRYL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2025 |
| GHATAN, BIJAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2014 |
| 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 01/01/2014 |
| 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 |
| 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 SYSTEM-SOUTHERN CALIFORNIA | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/26/2007 |
| RICKS, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/05/2023 |
| RIOJAS, ROGELIO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| 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 O20080625000373).
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 | 1/26/2007 | 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 |
| BIJAN GHATAN | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2014 | 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 |
| MICHAEL RICKS | Individual | ADP OF THE SNF | Not stated in the filing | 11/5/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PROVIDENCE HEALTH & SERVICES | Organization | ADP OF THE SNF | Not stated in the filing | 11/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | Organization | ADP OF THE SNF | Not stated in the filing | 11/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | Organization | ADP OF THE SNF | Not stated in the filing | 1/26/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE ST. JOSEPH HEALTH | Organization | ADP OF THE SNF | Not stated in the filing | 11/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 11/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 11/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 11/14/2025 | 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 | 1/1/2012 | 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 |
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | Organization | DIRECT OWNERSHIP INTEREST | 100 | 1/26/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE HEALTH & SERVICES | Organization | INDIRECT OWNERSHIP INTEREST | 0 | 7/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | Organization | INDIRECT OWNERSHIP INTEREST | 0 | 9/30/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE ST. JOSEPH HEALTH | Organization | INDIRECT OWNERSHIP INTEREST | 0 | 7/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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 |
| BIJAN GHATAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2014 | 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 | 1/1/2012 | 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 RICKS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/5/2023 | 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 | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/26/2007 | 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 |
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: BIJAN GHATAN no longer appears as CONTRACTED 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: 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: MICHAEL RICKS 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: PROVIDENCE HEALTH & SERVICES - WASHINGTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL 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: JOHN GOEDERS 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 ST. JOSEPH HEALTH (INDIRECT OWNERSHIP INTEREST) 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 ST. JOSEPH HEALTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 14, 2025. 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: BIJAN GHATAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BIJAN GHATAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2014. 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 (INDIRECT OWNERSHIP INTEREST) 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 & SERVICES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 14, 2025. 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: ISIAAH D CRAWFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 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 January 1, 2014. 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: MICHAEL RICKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL RICKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 5, 2023. 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 (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 26, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 26, 2007. 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 26, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PROVIDENCE HEALTH & SERVICES - WASHINGTON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2008. 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 November 14, 2025. 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, 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 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- June 3, 2024: GARRY OLNEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BIJAN GHATAN (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since April 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: DONNA J MARKHAM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MICHAEL RICKS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since November 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MARVIN R O'QUINN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.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: 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: 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: CHRISTINA Y FISHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. 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: 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
- November 30, 2022: LUCILLE M DEAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: JOHN WHIPPLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: ANNA R NEWSOM (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: ERIC D SPRUNK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: CHRISTINA Y FISHER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since May 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.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: BIJAN GHATAN no longer appears as CONTRACTED 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: 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: MICHAEL RICKS 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: PROVIDENCE HEALTH & SERVICES - WASHINGTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL 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: JOHN GOEDERS 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 ST. JOSEPH HEALTH (INDIRECT OWNERSHIP INTEREST) 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 ST. JOSEPH HEALTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 14, 2025. 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: BIJAN GHATAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BIJAN GHATAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2014. 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 (INDIRECT OWNERSHIP INTEREST) 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 & SERVICES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 14, 2025. 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: ISIAAH D CRAWFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 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 January 1, 2014. 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: MICHAEL RICKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 30, 2026 | January 30, 2026 | 10 | 1 |
| 2 | December 6, 2024 | December 6, 2024 | 8 | 0 |
| 3 | December 14, 2023 | December 14, 2023 | 13 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
31 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 30, 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 2026 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 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 | February 23, 2026 |
| January 30, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 2026 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 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 | February 23, 2026 |
| January 30, 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 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 | February 23, 2026 |
| January 16, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has no plan of correction | |
| December 6, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | December 27, 2024 |
| December 6, 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 | December 27, 2024 |
| December 6, 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | No | Deficient, Provider has date of correction | December 27, 2024 |
| December 6, 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 | December 27, 2024 |
| December 6, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | December 27, 2024 |
| December 6, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 27, 2024 |
| December 6, 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | December 27, 2024 |
| December 14, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | January 12, 2024 |
| December 14, 2023 | 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. | K | No | Deficient, Provider has date of correction | January 12, 2024 |
| December 14, 2023 | 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. | E | No | Deficient, Provider has date of correction | January 12, 2024 |
| December 14, 2023 | 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 | January 12, 2024 |
| December 14, 2023 | 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 | January 12, 2024 |
| December 14, 2023 | 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 | January 12, 2024 |
| December 14, 2023 | 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 | January 12, 2024 |
| December 14, 2023 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | January 12, 2024 |
| December 14, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | January 12, 2024 |
| December 14, 2023 | 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. | F | No | Deficient, Provider has date of correction | January 12, 2024 |
| December 14, 2023 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | E | No | Deficient, Provider has date of correction | January 12, 2024 |
| December 14, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | January 12, 2024 |
| November 3, 2023 | 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 | Yes | Deficient, Provider has date of correction | March 7, 2024 |
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 |
|---|---|---|---|---|---|
| December 14, 2023 | Fine | $11,170 | 130145 |
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 | 2008-03-21 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 3107914518 |
| Chain Name | PROVIDENCE HEALTH & SERVICES |
| Chain ID | 430 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 125 |
| Average Number of Residents per Day | 98.2 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| 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 LITTLE COMP OF MARY SUBACUTE CARE CTR: 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.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for PROVIDENCE LITTLE COMP OF MARY SUBACUTE CARE CTR
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 555848.