Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Encino Hospital Medical Center D/p Snf during CMS and state inspections, most recent first.
Unsafe Food Storage and Labeling Practices: A scoop was found left inside a flour bin in the dry storage area, and the DFN stated scoops should never be stored inside dry good containers. In the kitchen, ten opened bags of frozen vegetables were observed without open-date or expiration-date labels. The DA and DFN stated food items must be labeled with the date opened and a discard date, and the facility policy required stored foods to be labeled with the product type and discard date.
Looped urinary catheter tubing was observed for two residents with indwelling catheters, preventing free urine flow into the collection bag. Both residents were in a persistent vegetative state and had care plans directing staff to keep catheter tubing unkinked and urine flowing freely. CNAs and an LVN stated the tubing should not be coiled or looped because urine backup can lead to UTI, and the facility's CAUTI policy required unobstructed urine flow and tubing free from kinking.
Unlabeled Enteral Feeding Tubing: A resident with a G-tube, ventilator-dependent respiratory failure, and severe dependence on staff had continuous Jevity 1.2 running via pump, but the EF tubing was observed without a label showing the date and time it was started. An LVN and RN stated the tubing and formula must be labeled and changed daily, and the facility policy required the bag and tubing to be labeled with the date and time hung.
Ice Scoop Sanitizer Log Not Completed Daily. The kitchen ice machine Daily Scoop Sanitizer Log was not completed daily to show the ice scooper was sanitized each day. The DFN stated the night shift washes the scoop and places it into sanitizer, but without the log documentation there was no other way of knowing whether the scoop was sanitized. The facility policy stated the scoop and container will be sanitized daily.
A resident reported an incident where a CNA pulled her wheelchair, causing her to fall and bruise her buttocks. The facility failed to report this alleged abuse to the appropriate authorities within the required timeframe, violating state law and facility policy. The Social Worker documented the incident but was instructed not to report it by the Manager of the Sub-Acute Unit, who later admitted the incident should have been reported.
A facility failed to investigate an alleged abuse incident where a CNA reportedly pulled a resident's wheelchair, causing a fall and injury. Despite the resident's cognitive decline and report of feeling unsafe, the incident was not reported or investigated as potential abuse, violating facility policy and regulations.
The facility failed to maintain resident dignity and privacy in two incidents. A CNA stood over a resident while feeding, despite available seating, and a RT entered a resident's room without knocking or asking permission. Both actions violated the residents' rights to dignity and privacy, as outlined in the facility's policies.
A resident with severe medical conditions was allegedly abused by a night shift staff member, resulting in bruising. A family member reported the incident, but the facility failed to report it to the necessary authorities within the required two-hour timeframe, as per their policy. The Social Worker misunderstood the reporting requirements, leading to a delay in notifying the appropriate agencies.
A CNA transferred a resident with severe cognitive impairment from a wheelchair to a bed using a mechanical lift without the required assistance of another staff member. The facility's policy mandates two-person assistance for such transfers to ensure safety, which was not followed in this instance.
The facility failed to follow safe food handling practices by not labeling and dating food stored in the resident unit refrigerator and not discarding it after two days. An unlabeled food item was found in a refrigerator without a thermometer, posing a risk of foodborne illnesses to two residents. The facility's policy requires food to be labeled and discarded after two days, and the refrigerator to maintain a specific temperature.
A CNA failed to perform hand hygiene after doffing her gown and exiting a resident's room, who was dependent on staff for daily activities and received tracheostomy care. The CNA confirmed the lapse, and the DON emphasized the importance of hand hygiene as per facility policy to prevent infection spread.
A Charge Nurse in an LTC facility breached a resident's privacy by disclosing medical information to another resident's family member. The nurse used the resident's room number as an identifier, which violated the facility's privacy policies. The resident had multiple medical conditions, including chronic respiratory failure and was dependent on a ventilator and gastrotomy tube.
Unsafe Food Storage and Labeling Practices
Penalty
Summary
The facility failed to ensure safe and sanitary food storage and food preparation practices in the kitchen. During an initial kitchen tour in the dry storage area, a plastic scoop was observed left inside a large bin labeled flour, and the scoop was covered in white powdery material. During a concurrent interview, the Director of Food and Nutrition stated scoops should never be left in any dry good bin and explained that once staff use a dry good, the scoop must be removed and stored separately to prevent bacterial growth and cross contamination. The facility policy titled Food Storage, last reviewed on 2/17/2025, stated scoops are never to be stored inside containers in the dry storage area. The facility also failed to ensure food was labeled with a date, stored correctly, and disposed of upon expiration. In the kitchen, ten bags of frozen vegetables were observed opened without labels showing the open date or expiration date. The Dietary Aid stated all food items are to be labeled with the date they were opened and a new expiration date, and that without an open date label staff would have no way of knowing when the items were opened. The Director of Food and Nutrition stated all food items should be labeled with an open date and an expiration date that is one month after opening. The facility policy titled Food Labeling and Dating, dated 2/17/2025, stated stored foods shall be labeled to indicate the type of product and the date prepared or the date the product is to be discarded.
Looped urinary catheter tubing prevented free urine flow for two residents
Penalty
Summary
The facility failed to ensure that indwelling urinary catheter tubing remained free of loops or kinks for two residents who were using catheter appliances. Resident 12 had a history of respiratory failure, seizure disorder, dysphagia, urethral stricture, obesity, immobility with chronic contractures, and a hypercoagulable state, and was assessed as being in a persistent vegetative state with no discernible consciousness. Resident 12 had an indwelling urinary catheter ordered for dependent drainage, and the care plan directed staff to check that the catheter tubing was not kinked and that urine flowed freely at all times. During a concurrent observation and interview, Resident 12's catheter tubing was found looped, which prevented free urine flow into the collection bag. A CNA stated the tubing should not be looped and moved the collection bag to allow the tubing to uncoil. The CNA stated that backup of urine in the tubing can cause a UTI. An LVN and the NM also stated that catheter tubing should not be coiled or looped so urine can flow freely and avoid UTI. The facility's CAUTI policy stated to maintain unobstructed urine flow and keep the catheter and collecting tube free from kinking. Resident 1 had a history of chronic encephalopathy, traumatic brain injury from a motor vehicle accident, and a tracheostomy, and was also assessed as being in a persistent vegetative state with no discernible consciousness. Resident 1 had an indwelling Foley catheter ordered for urinary retention, and the care plan likewise directed staff to ensure the tubing was not kinked and that urine flowed freely at all times. During observation, Resident 1's catheter tubing was also found looped, preventing free flow of urine into the collection bag. A CNA uncoiled the tubing so urine could flow freely, and stated that backup of urine in the tubing can cause infection.
Unlabeled Enteral Feeding Tubing
Penalty
Summary
The facility failed to provide appropriate treatment and services to prevent complications of enteral feeding for one sampled resident with a gastrostomy tube. Resident 18 was admitted with diagnoses including hypoxic brain injury, ventilator-dependent respiratory failure, and a gastrostomy tube. The resident’s MDS indicated he was ventilator dependent, unable to make himself understood or understand others, and completely dependent on facility staff for all needs. A physician order directed Jevity 1.2 at 80 ml/hr for 16 hours via G-tube. During an observation in the resident’s room, enteral feeding was hanging on a pump and connected to the resident’s G-tube, but the tubing did not have a label showing the date and time it was started. An LVN stated the prior nurse either forgot to put a label on or the label fell off, and explained the tubing must be labeled so staff know when the enteral feeding was started and that the tubing and feeding must be changed daily. An RN also stated all tubing and enteral feeding are changed daily and should be labeled with the date and time started. The facility policy for continuous enteral feeding via G or J tube stated formula may hang for 24 hours and the bag and tubing must be labeled with the date and time it was hung.
Ice Scoop Sanitizer Log Not Completed Daily
Penalty
Summary
The facility failed to ensure the kitchen ice machine Daily Scoop Sanitizer Log was completed daily to show that the ice scooper was sanitized each day. During interview and record review with the Director of Food and Nutrition, the Daily Scoop Sanitizer Log for 12/2025 showed that sanitization of the ice machine scoop was not documented on 12/2/2025 and on 9/7/2025. The Director of Food and Nutrition stated the log is completed daily at the end of the day by the night shift, that the night shift sanitizes the scoop by washing it and placing it into sanitizer, and that without the log documentation there is no other way of knowing whether the ice scoop was sanitized. The facility policy titled, Dispensing of Ice, stated that ice is to be dispensed without contamination and that the scoop and container will be sanitized daily.
Failure to Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report an alleged incident of physical abuse involving a resident to the long-term care ombudsman, local law enforcement, and the Department of Health Services within the required timeframe. The incident involved a resident who reported that a Certified Nurse Assistant (CNA) pulled her wheelchair from behind, causing her to fall and sustain a bruise on her buttocks. Despite the resident's report and visible injury, the facility did not report the incident as required by state law and facility policy. The Social Worker (SW) documented the incident and the directive from the Manager of the Sub-Acute Unit (MSAU) not to report it, despite understanding the importance of timely reporting. The MSAU later acknowledged that the incident should have been reported due to the resident's injury and feeling of unsafety around the CNA. The facility's policy mandates that all staff are responsible for reporting any reasonable suspicion or allegation of abuse, and the failure to do so violated the resident's rights and state and federal regulations.
Failure to Investigate Alleged Abuse Incident
Penalty
Summary
The facility failed to conduct a timely and thorough investigation into an alleged incident involving a resident and a Certified Nurse Assistant (CNA). The incident occurred when the CNA allegedly pulled the resident's wheelchair, causing the resident to fall and sustain a bruise on the left buttock. The resident, who had a cognitive decline as indicated by a BIMS score of 4, reported body pain following the fall. Despite the resident's report of feeling unsafe around the CNA and the presence of physical injury, the facility did not report or investigate the incident as potential abuse. The Manager of the Sub-Acute Unit (MSAU) acknowledged that the incident should have been reported and investigated according to the facility's policy, which mandates reporting any allegations of abuse. The facility's policy requires that any staff member involved in an alleged abuse incident be suspended pending investigation, and that the incident be reported to appropriate authorities. However, the MSAU and the facility administrator did not consider the incident as related to abuse, leading to a failure in reporting and investigating the incident, which is a violation of resident rights, facility policy, and state and federal regulations.
Failure to Maintain Resident Dignity and Privacy
Penalty
Summary
The facility failed to uphold the dignity and respect of its residents in two separate incidents. In the first incident, a Certified Nursing Assistant (CNA) was observed standing over a resident while feeding him, despite a chair being available in the room. The resident, who had intact cognition and was dependent on staff for most activities of daily living, did not express a preference for his bed position or the CNA's seating arrangement during feeding. However, the CNA acknowledged that she should have adjusted the resident's bed to a higher position to be at eye level. The Director of Nursing (DON) incorrectly stated that the resident did not like his bed moved or CNAs sitting beside him, which was not documented in the resident's care plan. In the second incident, a Respiratory Therapist (RT) entered a resident's room without knocking or asking permission. The resident had severe cognitive impairment and was totally dependent on staff for personal care. The RT admitted to forgetting to knock and acknowledged that it was a violation of the resident's rights. A Registered Nurse (RN) confirmed that staff should knock and ask permission before entering a resident's room to ensure respect and privacy. The facility's policy on patient rights and responsibilities, which emphasizes the right to personal privacy, was not adhered to in this instance.
Failure to Timely Report Alleged Abuse
Penalty
Summary
The facility failed to adhere to its abuse prohibition policy by not reporting an allegation of staff-to-resident abuse within the required timeframe. The incident involved a resident who was admitted to the facility with conditions such as encephalitis, cerebrovascular accident, and ventilator-dependent respiratory failure. The resident was non-verbal and dependent on staff for all activities of daily living. A family member of another resident reported seeing bruises on the resident's arm, suspecting that a night shift staff member might have caused the bruising. However, the facility's Manager of Subacute and the charge nurse found no signs of bruising upon assessment and did not report the incident to the necessary authorities immediately. The facility's policy required that any incidents involving abuse or resulting in serious bodily injury be reported to local law enforcement, the Long Term Care Ombudsman, and the Department of Public Health within two hours. Despite this, the Social Worker responsible for reporting misunderstood the policy, believing she could notify one entity within 24 hours and the others later. This misunderstanding led to a delay in reporting the allegation to the appropriate agencies, as confirmed by a fax confirmation timestamped two days after the initial report. The facility's policy was reviewed with the Manager of Subacute and the Chief Nursing Officer, who acknowledged that the allegation should have been reported as per the policy requirements.
Improper Use of Mechanical Lift for Resident Transfer
Penalty
Summary
The facility failed to ensure that a Certified Nursing Assistant (CNA) did not transfer a resident from a wheelchair to a bed using a mechanical lift without assistance from another staff member. This incident involved a resident who was admitted with diagnoses including encephalopathy and respiratory failure. The resident's Minimum Data Set (MDS) indicated severely impaired cognitive skills and a requirement for two staff members for assistance with daily activities, including transfers. Despite this, CNA 1 transferred the resident alone, citing that other CNAs were busy. Interviews with other staff members, including another CNA and a Registered Nurse (RN), confirmed that the facility's policy required two-person assistance for mechanical lift transfers to ensure safety. The facility's policy and procedures, last reviewed in May 2024, also stipulated that two personnel must assist with mechanical lift transfers. The actions of CNA 1 were contrary to these guidelines, creating a potential risk for the resident to sustain a serious injury in the event of a fall.
Failure to Follow Safe Food Handling Practices
Penalty
Summary
The facility failed to adhere to safe food handling practices by not labeling food stored in the resident unit refrigerator with the resident's name, room number, and date of preparation, and by not discarding it after two days. During an observation, an unknown food item wrapped in foil without a label was found in the refrigerator, which lacked a thermometer. The Activity Director confirmed that the food item should have been labeled and dated, and the absence of a thermometer was against the facility's policy. The Director of Nursing stated that food brought in by families or visitors should be stored in a designated refrigerator, labeled, and dated to ensure it is discarded after one to two days. The report highlights the risk of foodborne illnesses for two residents due to these deficiencies. Resident 9, admitted with a history of respiratory failure and cerebrovascular accident, and Resident 21, admitted with generalized weakness and heart failure, were both at risk. Both residents had intact cognitive skills for daily decision-making but required varying levels of assistance from staff for daily activities. The facility's policy, last revised in February 2023, mandates that perishable food not eaten immediately should be labeled and discarded after two days, and the refrigerator should maintain a temperature of less than or equal to 41 degrees Fahrenheit.
Failure to Perform Hand Hygiene After Resident Care
Penalty
Summary
The facility failed to ensure proper hand hygiene practices were followed by a Certified Nursing Assistant (CNA 1) after doffing her gown, touching a soiled linen cart, and leaving a resident's room. This incident involved Resident 9, who was admitted to the facility with multiple cerebrovascular accidents, bilateral lower extremity paraplegia, and right upper extremity paralysis. The resident was dependent on staff for most activities of daily living and received tracheostomy care. During an observation, CNA 1 was seen exiting Resident 9's room without performing hand hygiene, and subsequently entering another room without cleaning her hands. Interviews with CNA 1 and the Director of Nursing (DON) confirmed the failure to perform hand hygiene after doffing the gown and exiting the resident's room. The facility's policy on hand hygiene, last reviewed and revised in March 2024, mandates that personnel wash their hands to prevent the spread of infections between handling individual patients and upon leaving an isolation area or after handling articles from an isolation area. This deficiency had the potential to increase the risk of infection among residents.
Breach of Resident Privacy and Confidentiality
Penalty
Summary
The facility failed to maintain the privacy and confidentiality of a resident's medical information, resulting in a breach of privacy for one of the two sampled residents. A Charge Nurse (CN 2) disclosed Resident 2's medical information to a family member of another resident (FM 1) during an educational session about the importance of tube feeding. CN 2 mentioned that Resident 2's tube feeding was off for five hours, using the resident's room number as an identifier, which was considered a violation of privacy. Resident 2 had been admitted to the facility with several medical conditions, including chronic respiratory failure, ventilator dependency, dysphagia, and a gastrotomy tube placement. The facility's policy on patient rights and HIPAA Privacy Rule clearly states the right to confidentiality of clinical records and protected health information. The Nurse Manager confirmed that discussing resident information with unauthorized individuals, even using room numbers, is against the facility's privacy policies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Encino
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sherman Oaks Health & Rehab | 2.3 mi | ★★★★★ | 3 | 0 |
| Sherman Oaks Hospital Snf Dp | 2.3 mi | ★★★★★ | 0 | 0 |
| Berkley Post-acute | 2.6 mi | ★★★★★ | 8 | 0 |
| Lake Balboa Care Center | 2.6 mi | ★★★★★ | 17 | 0 |
| California Healthcare And Rehabilitation Center | 2.7 mi | ★★★★★ | 43 | 0 |
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