Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

PROVIDENCE ST ELIZABETH CARE CENTER

NORTH HOLLYWOOD, CA · 52 certified beds · Last Life Safety survey January 2, 2026

CMS Certification Number 055192 · first certified June 1973

Ownership

Operated by PROVIDENCE HEALTH & SERVICES · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within CA

10 citations — more than 11% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was January 2026. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility10CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-1062024-1012026-01
Citations at each Life Safety survey
Survey dateCitations
October 15, 20233
October 4, 20246
January 2, 20261

Most-cited tags

Most-cited tags at this facility
K-03532K-03241K-03551K-07411K-02111K-09201K-09181K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-10-04
K-0324Provide properly protected cooking facilities.12023-10-15
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-10-04
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12024-10-04
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12026-01-02
K-0920Ensure proper usage of power strips and extension cords.12024-10-04
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-10-04
K-0923Have proper medical gas storage and administration areas.12023-10-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 1
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 2, 2026 — 1 citation

Citations issued on January 2, 2026
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 23, 2026)

October 4, 2024 — 6 citations

Citations issued on October 4, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 18, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (October 18, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 18, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (October 18, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 18, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 18, 2024)

October 15, 2023 — 3 citations

Citations issued on October 15, 2023
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 10, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 10, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 10, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.