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Skilled nursing facility · CMS certification number 055192

PROVIDENCE ST ELIZABETH CARE CENTER

NORTH HOLLYWOOD, California · Medicare and Medicaid · 52 certified beds in Care Compare

Download PROVIDENCE ST ELIZABETH CARE CENTER’s record (CSV, each figure with its worksheet, line and column)

CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $54,032.00 · Payment denials: 0. The most recent penalty on file: November 25, 2025, Fine, $30,846. Every penalty on file ↓

PROVIDENCE ST ELIZABETH CARE CENTER: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
  • Net patient revenue rose from $6.2M in fiscal year 2023 to $6.5M in fiscal year 2024.
  • Its result from service to patients: −$3.6M (2022), −$2.1M (2023), −$2.0M (2024).
  • Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
  • Its net patient revenue of $6.5M ranks 887th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
  • 1 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a loss on service to patients.

PROVIDENCE ST ELIZABETH CARE CENTER: Medicare cost reports

Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14361942023 · report 13932742022 · report 13633782021 · report 13273762020 · report 13014542019 · report 12622612018 · report 12351522017 · report 12093212016 · report 11690332015 · report 11421272014 · report 11080292013 · report 10769012012 · report 10442752011 · report 1019264
Processed by CMSAugust 28, 2025August 28, 2024August 29, 2023July 22, 2022September 30, 2021August 3, 2020July 10, 2019August 21, 2018July 17, 2017August 22, 2016August 15, 2015August 25, 2014July 29, 2013November 12, 2012
Total patient revenue$8,128,368$7,678,517$7,371,674$6,552,722$5,180,000$4,893,378$4,256,941$4,327,559$4,350,472$4,441,570$4,616,362$4,643,833$4,485,283$4,244,388
Contractual allowances and discounts$1,640,142$1,473,228$2,392,794$925,499$283,774$414,638$264,986$378,507$524,664$732,773$919,752$739,875$607,975$428,561
Net patient revenue$6,488,226$6,205,289$4,978,880$5,627,223$4,896,226$4,478,740$3,991,955$3,949,052$3,825,808$3,708,797$3,696,610$3,903,958$3,877,308$3,815,827
Total operating expenses$8,508,621$8,275,728$8,614,151$7,685,824$6,479,328$5,483,522$4,963,068$4,808,992$3,546,447$3,546,857$3,873,828$3,847,600$3,807,238$3,744,146
Net income from service to patients−$2,020,395−$2,070,439−$3,635,271−$2,058,601−$1,583,102−$1,004,782−$971,113−$859,940$279,361$161,940−$177,218$56,358$70,070$71,681
Total other income$93,772$128,501$104,745−$21,949$17,991$71,539$15,672$341,355$133,538$76,200$441,350$10,084$5,576$67,203
Net income after other income−$1,926,623−$1,941,938−$3,530,526−$2,080,550−$1,565,111−$933,243−$955,441−$518,585$412,899$238,140$264,132$66,442$75,646$138,884
Net income−$1,926,623−$1,941,938−$3,530,526−$2,080,550−$1,565,111−$933,243−$955,441−$518,585−$529,406−$619,516$264,132$66,442$75,646$138,884
Total facility beds, all components5252525252525252525252525252
Bed days available, all components18,980—————————————
Medicare (Title XVIII) patient days4,468—————————————
Medicaid (Title XIX) patient days5,732—————————————
Other-payer patient days2,987—————————————
Total patient days, all components13,18714,21613,81212,84813,44814,03813,40014,27714,95514,96915,03115,46615,35916,082
Medicare discharges109—————————————
Medicaid discharges28—————————————
Other-payer discharges13—————————————
Total discharges, all components1501911429610513811412210114313612413691
Average length of stay, Medicare, in days40.9944.2747.359.8746.7532.9438.0229.1542.735.0934.2933.1138.2853.4
Average length of stay, Medicaid, in days204.71247.61220.73406.54360.1375.55386.26420.11243.03364.33338.25403.24282.38411.81
Average length of stay, all patients, in days87.9174.4397.27133.83128.08101.72117.54117.02148.07104.68110.52124.73112.93176.73

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-962010 · report 4134302009 · report 3869822008 · report 3555752007 · report 3222192006 · report 3079802005 · report 2713542004 · report 2492972003 · report 2015832002 · report 1650932001 · report 1562052000 · report 737031999 · report 737021998 · report 737011997 · report 44581996 · report 4457
Period beganJanuary 1, 2010January 1, 2009January 1, 2008January 1, 2007January 1, 2006January 1, 2005January 1, 2004January 1, 2003January 1, 2002January 1, 2001January 1, 2000January 1, 1999January 1, 1998January 1, 1997May 1, 1996
Period endedDecember 31, 2010December 31, 2009December 31, 2008December 31, 2007December 31, 2006December 31, 2005December 31, 2004December 31, 2003December 31, 2002December 31, 2001December 31, 2000December 31, 1999December 31, 1998December 31, 1997December 31, 1996
Days, where not a full year——————————————244
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledreopenedsettledsettled
Processed by CMSJuly 27, 2011August 30, 2010August 27, 2009July 30, 2008April 30, 2008January 30, 2007May 15, 2006December 8, 2004December 11, 2003August 6, 2003February 27, 2002September 24, 2001December 5, 2001May 3, 1999September 16, 1998
Net patient revenue$3,717,322$3,765,535$3,465,840$3,025,523$3,018,618$2,777,942$2,564,695$2,425,917$2,369,486$2,308,425$2,129,643$2,272,917$1,930,002$2,127,708$1,333,308
Total operating expenses$3,564,900$3,558,905$3,325,473$2,926,857$2,939,847$2,686,421$2,495,553$2,294,543$2,267,879$2,188,277$1,987,891$1,877,850$1,933,800$2,116,949$1,301,818
Net income from service to patients$152,422$206,630$140,367$98,666$78,771$91,521$69,142$131,374$101,607$120,148$141,752$395,067−$3,798$10,759$31,490
Total other income$5,644$11,364$45,876$91,605$57,414$29,649$22,247$28,786$35,308$72,146$106,538$97,615$373,798$40,241$32,510
Net income$158,066$217,994$186,243$190,271$136,185$121,170$91,389$160,160$136,915$192,294$248,290$492,682$370,000$51,000$64,000
Total facility beds, all components524848525248485252525252525252
Total patient days, all components15,54016,03915,60315,99616,35016,38215,78516,95416,80318,05117,73917,96117,67918,25312,492
Total discharges, all components1271161148554831058870676273655926
Average length of stay, Medicare, in days40.6147.1554.3543.8440.7132.7630.1428.0334.1623.920.3354.8274111264.75
Average length of stay, Medicaid, in days249.32220.35235.59326.961,176.252,8107281,028.11931.78539.86767426.56375408.94527.2
Average length of stay, all patients, in days122.36138.27136.87188.19302.78197.37150.33192.66240.04269.42286.11246.04271.98309.37480.46

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

PROVIDENCE ST ELIZABETH CARE CENTER: nurse staffing hours by quarter →

Who owns PROVIDENCE ST ELIZABETH CARE CENTER, as filed with CMS

Care Compare

  • CONTRACTED MANAGING EMPLOYEE: GOBRIAL, MARK (individual), since 12/01/2022
  • CORPORATE DIRECTOR: BLAIR, RICHARD (individual), since 07/01/2016; CRAWFORD, ISIAAH (individual), since 02/01/2012; HEJNA, DIANE (individual), since 07/01/2016; HUGHES, PHYLLIS (individual), since 07/01/2016; KINGSTON, MARY BETH (individual), since 09/01/2022; LYONS, MARY (individual), since 07/01/2016; MARKHAM, DONNA (individual), since 01/01/2024; MURPHY, MICHAEL (individual), since 01/01/2020; O'QUINN, MARVIN (individual), since 01/01/2024; PACINI, CAROL (individual), since 01/01/2021; SORENSON, CHARLES (individual), since 01/01/2019; SPRUNK, ERIC (individual), since 01/01/2022
  • CORPORATE OFFICER: ANDERSON, DONALD (individual), since 12/20/2016; HOFFMAN, GREGORY (individual), since 10/01/2020; MARTIN, JAMES (individual), since 01/13/2023; NEWSOM, ANNA (individual), since 05/13/2022; WEXLER, ERIK (individual), since 01/01/2023
  • OPERATIONAL/MANAGERIAL CONTROL: PROVIDENCE HEALTH & SERVICES - WASHINGTON (organization), since 01/01/2015
  • W-2 MANAGING EMPLOYEE: JONES, CALVIN (individual), since 06/26/2023; REELY, DIANNA (individual), since 11/01/2022; SIKES, NICOLE (individual), since 08/22/2022; WARREN, TERRI (individual), since 11/01/2022; WESTLUND, MALISA (individual), since 03/06/2020

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA (enrollment ID O20070201000472).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (organization), 100.00%, since 01/01/2007
  • CONTRACTED MANAGING EMPLOYEE: MARK N GOBRIAL (individual), 0.00%, since 12/01/2022
  • CORPORATE DIRECTOR: CAROL ELIZABETH PACINI (individual), since 01/01/2021; CHARLES WALLACE SORENSON (individual), since 01/01/2019; DIANE L HEJNA (individual), since 07/01/2016; DONNA MARKHAM (individual), 0.00%, since 01/01/2024; ERIC D SPRUNK (individual), 0.00%, since 01/01/2022; ISIAAH D CRAWFORD (individual), since 02/01/2012; MARVIN O'QUINN (individual), 0.00%, since 01/01/2024; MARY BETH KINGSTON (individual), 0.00%, since 09/01/2022; MARY E LYONS (individual), since 07/01/2016; MICHAEL W MURPHY (individual), since 01/01/2020; PHYLLIS M HUGHES (individual), since 07/01/2016; RICHARD S BLAIR (individual), since 07/01/2016
  • CORPORATE OFFICER: ANNA R NEWSOM (individual), 0.00%, since 05/13/2022; DONALD WAYNE ANDERSON (individual), since 12/20/2016; ERIK WEXLER (individual), 0.00%, since 01/01/2023; GREGORY DAVID HOFFMAN (individual), since 10/01/2020; JAMES MARTIN (individual), 0.00%, since 01/13/2023
  • OPERATIONAL/MANAGERIAL CONTROL: PROVIDENCE HEALTH & SERVICES - WASHINGTON (organization), since 01/01/2015
  • OTHER: PROVIDENCE HEALTH & SERVICES (organization), since 07/01/2016; PROVIDENCE ST. JOSEPH HEALTH (organization), since 07/01/2016
  • W-2 MANAGING EMPLOYEE: CALVIN JONES (individual), 0.00%, since 06/26/2023; DIANNA REELY (individual), 0.00%, since 11/01/2022; MALISA J WESTLUND (individual), since 03/06/2020; NICOLE SIKES (individual), since 08/22/2022; TERRI P WARREN (individual), 0.00%, since 11/01/2022

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA; PROVIDENCE HEALTH & SERVICES - WASHINGTON; PROVIDENCE HEALTH & SERVICES; PROVIDENCE ST. JOSEPH HEALTH.

Private equity company, real estate investment trust and holding company: Paused by CMS: MARK N GOBRIAL; CAROL ELIZABETH PACINI; CHARLES WALLACE SORENSON; DIANE L HEJNA; DONNA MARKHAM; ERIC D SPRUNK; ISIAAH D CRAWFORD; MARVIN O'QUINN; MARY BETH KINGSTON; MARY E LYONS; MICHAEL W MURPHY; PHYLLIS M HUGHES; RICHARD S BLAIR; ANNA R NEWSOM; DONALD WAYNE ANDERSON; ERIK WEXLER; GREGORY DAVID HOFFMAN; JAMES MARTIN; CALVIN JONES; DIANNA REELY; MALISA J WESTLUND; NICOLE SIKES; TERRI P WARREN.

Changes in ownership

  • May 1, 2024, enrollment ownership file; no longer listed: CHRISTINA Y FISHER (DIRECTOR); first listed: DONNA J MARKHAM (DIRECTOR), associated since January 1, 2024; MARK N GOBRIAL (CONTRACTED MANAGING EMPLOYEE), associated since December 1, 2022; CALVIN JONES (W-2 MANAGING EMPLOYEE), associated since June 26, 2023; MARVIN R O'QUINN (DIRECTOR), associated since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
  • May 15, 2023, enrollment ownership file; no longer listed: KEVIN PATRICK MANEMANN (OPERATIONAL/MANAGERIAL CONTROL); JAMES D WATSON (OFFICER); ERIK GOLDSCHMIDT WEXLER (OPERATIONAL/MANAGERIAL CONTROL); JOHN WHIPPLE (OFFICER); JO ANN ESCASA-HAIGH (OFFICER); first listed: ANNA R NEWSOM (OFFICER), associated since May 13, 2022; ERIC D SPRUNK (DIRECTOR), associated since January 1, 2022; MARY BETH KINGSTON (DIRECTOR), associated since September 1, 2022; DIANNA REELY (W-2 MANAGING EMPLOYEE), associated since November 1, 2022; JAMES MARTIN (OFFICER), associated since January 13, 2023; ERIK GOLDSCHMIDT WEXLER (OFFICER), associated since January 1, 2023; TERRI P WARREN (W-2 MANAGING EMPLOYEE), associated since November 1, 2022; CHRISTINA Y FISHER (DIRECTOR), associated since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
  • February 15, 2023, enrollment ownership file; first listed: NICOLE A SIKES (W-2 MANAGING EMPLOYEE), associated since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv

Inspections of PROVIDENCE ST ELIZABETH CARE CENTER

  • Cycle 1: health January 2, 2026 (32 deficiencies), fire safety January 2, 2026 (1)
  • Cycle 2: health October 4, 2024 (22 deficiencies), fire safety October 4, 2024 (6)
  • Cycle 3: health October 15, 2023 (23 deficiencies), fire safety October 15, 2023 (3)

Deficiencies cited at PROVIDENCE ST ELIZABETH CARE CENTER

80 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 18 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0550, resident rights: April 2, 2026 (D, from a complaint, corrected April 24, 2026); October 15, 2023 (D, corrected November 7, 2023).
  • F 0692, quality of life and care: April 2, 2026 (D, from a complaint, corrected April 24, 2026); October 4, 2024 (D, corrected October 30, 2024); October 15, 2023 (D, corrected November 7, 2023).
  • F 0551, resident rights: January 12, 2026 (D, from a complaint, corrected January 30, 2026).
  • F 0557, resident rights: January 12, 2026 (D, from a complaint, corrected January 30, 2026).
  • F 0627, resident rights: January 12, 2026 (E, from a complaint, corrected January 30, 2026).
  • F 0656, resident assessment and care planning: January 12, 2026 (E, from a complaint, corrected January 30, 2026); October 4, 2024 (D, corrected October 30, 2024); October 15, 2023 (E, corrected November 7, 2023); September 25, 2023 (B, from a complaint, corrected October 19, 2023).
  • F 0726, nursing and physician services: January 12, 2026 (E, from a complaint, corrected January 30, 2026).
  • F 0842, resident assessment and care planning: January 12, 2026 (D, from a complaint, corrected January 30, 2026); January 2, 2026 (D, corrected January 30, 2026); October 15, 2023 (D, corrected November 7, 2023).
  • F 0583, resident rights: January 2, 2026 (D, corrected January 30, 2026).
  • F 0604, freedom from abuse, neglect, and exploitation: January 2, 2026 (D, corrected January 30, 2026).
  • F 0655, resident assessment and care planning: January 2, 2026 (D, corrected January 30, 2026).
  • F 0658, resident assessment and care planning: January 2, 2026 (E, corrected January 30, 2026).
  • F 0684, quality of life and care: January 2, 2026 (D, corrected January 30, 2026); November 25, 2025 (D, from a complaint, corrected December 18, 2025).
  • F 0693, quality of life and care: January 2, 2026 (D, corrected January 30, 2026).
  • F 0695, quality of life and care: January 2, 2026 (D, corrected January 30, 2026); October 4, 2024 (E, corrected October 30, 2024); August 26, 2024 (D, from a complaint, corrected September 6, 2024).
  • F 0697, quality of life and care: January 2, 2026 (E, corrected January 30, 2026).
  • F 0730, nursing and physician services: January 2, 2026 (D, corrected January 30, 2026).
  • F 0755, pharmacy service: January 2, 2026 (E, corrected January 30, 2026); December 4, 2025 (E, from a complaint, corrected December 15, 2025); October 4, 2024 (J, corrected October 30, 2024); October 15, 2023 (D, corrected November 7, 2023).
  • F 0759, pharmacy service: January 2, 2026 (K, corrected January 30, 2026); October 4, 2024 (J, corrected October 30, 2024).
  • F 0760, pharmacy service: January 2, 2026 (J, corrected January 30, 2026); October 4, 2024 (E, corrected October 30, 2024); October 15, 2023 (D, corrected November 7, 2023).
  • F 0803, nutrition and dietary: January 2, 2026 (D, corrected January 30, 2026); October 4, 2024 (E, corrected October 30, 2024).
  • F 0812, nutrition and dietary: January 2, 2026 (E, corrected January 30, 2026); October 4, 2024 (E, corrected October 30, 2024); October 15, 2023 (E, corrected November 7, 2023).
  • F 0813, nutrition and dietary: January 2, 2026 (E, corrected January 30, 2026); October 15, 2023 (D, corrected November 7, 2023).
  • F 0838, administration: January 2, 2026 (D, corrected January 30, 2026); August 21, 2023 (D, from a complaint, corrected September 15, 2023).
  • F 0880, infection control: January 2, 2026 (E, corrected January 30, 2026); October 4, 2024 (E, corrected October 30, 2024); January 11, 2024 (D, from a complaint, corrected January 24, 2024); October 15, 2023 (D, corrected November 7, 2023).
  • F 0881, infection control: January 2, 2026 (E, corrected January 30, 2026); October 15, 2023 (E, corrected November 7, 2023).
  • F 0912, environmental: January 2, 2026 (B, corrected January 30, 2026); December 10, 2025 (B, from a complaint, corrected January 30, 2026); October 4, 2024 (B, corrected October 30, 2024); October 15, 2023 (B, corrected November 7, 2023).
  • F 0947, nursing and physician services: January 2, 2026 (D, corrected January 30, 2026).
  • F 0577, resident rights: October 4, 2024 (D, corrected October 30, 2024).
  • F 0578, resident rights: October 4, 2024 (E, corrected October 30, 2024); October 15, 2023 (E, corrected November 7, 2023).
  • F 0582, resident rights: October 4, 2024 (B, corrected October 30, 2024).
  • F 0584, resident rights: October 4, 2024 (D, corrected October 30, 2024); August 26, 2024 (D, from a complaint, corrected September 6, 2024); October 15, 2023 (D, corrected November 7, 2023).
  • F 0623, resident rights: October 4, 2024 (D, corrected October 30, 2024).
  • F 0625, resident rights: October 4, 2024 (D, corrected October 30, 2024).
  • F 0641, resident assessment and care planning: October 4, 2024 (B, corrected October 30, 2024).
  • F 0657, resident assessment and care planning: October 4, 2024 (D, corrected October 30, 2024); October 15, 2023 (D, corrected November 7, 2023).
  • F 0689, quality of life and care: October 4, 2024 (D, corrected October 30, 2024).
  • F 0732, nursing and physician services: October 4, 2024 (B, corrected October 30, 2024).
  • F 0757, pharmacy service: October 4, 2024 (D, corrected October 30, 2024).
  • F 0761, pharmacy service: October 4, 2024 (E, corrected October 30, 2024).
  • F 0585, resident rights: August 26, 2024 (D, from a complaint, corrected September 6, 2024).
  • F 0554, resident rights: October 15, 2023 (D, corrected November 7, 2023).
  • F 0580, resident rights: October 15, 2023 (D, corrected November 7, 2023).
  • F 0640, resident assessment and care planning: October 15, 2023 (D, corrected November 7, 2023).
  • F 0676, quality of life and care: October 15, 2023 (D, corrected November 7, 2023).
  • F 0773, administration: October 15, 2023 (D, corrected November 7, 2023).
  • F 0727, nursing and physician services: August 21, 2023 (E, from a complaint, corrected September 15, 2023).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
November 25, 2025Fine$30,846136966
October 4, 2024Fine$23,186130922

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

PROVIDENCE ST ELIZABETH CARE CENTER in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
  • Date First Approved to Provide Medicare and Medicaid Services: 1973-06-01
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Los Angeles
  • Telephone Number: 8189803872
  • Chain Name: PROVIDENCE HEALTH & SERVICES
  • Chain ID: 430
  • Special Focus Status: SFF Candidate
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 47.0
  • Overall Rating: 2
  • Health Inspection Rating: 1
  • QM Rating: 5
  • Long-Stay QM Rating: 4
  • Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in NORTH HOLLYWOOD and California

Report a figure on PROVIDENCE ST ELIZABETH CARE CENTER’s record that differs from its CMS file, quoting 055192.