Skilled nursing facility · CMS certification number 555074
Providence Holy Cross Med Ctr D/P SNF
MISSION HILLS, California · Medicare and Medicaid · 48 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $97,923.00 · Payment denials: 0. The most recent penalty on file: April 14, 2024, Fine, $97,923. Every penalty on file ↓
Providence Holy Cross Med Ctr D/P SNF: its citable report, full history — $295 · an email when it changes — $99/month
Providence Holy Cross Med Ctr D/P SNF: nurse staffing hours by quarter →
Who owns Providence Holy Cross Med Ctr D/P SNF, as filed with CMS
Care Compare
- ADP OF THE SNF: ANDERSON, DONALD (individual), since 12/20/2016; ELMOUCHI, DARRYL (individual), since 04/01/2025; HOFFMAN, GREGORY (individual), since 10/01/2020; KELL, JASON (individual), since 01/01/2026; KLEIN, BERNARD (individual), since 02/01/2013; MARTIN, JAMES (individual), since 01/13/2023; NEWSOM, ANNA (individual), since 05/13/2022; PROVIDENCE HEALTH & SERVICES - WASHINGTON (organization), since 04/21/2026; SANI AND ESHAGHIAN MD INC (organization), since 04/21/2026; SANI, SASAN (individual), since 10/14/2023
- CORPORATE DIRECTOR: BLAIR, RICHARD (individual), since 07/01/2016; BUCK, LINDA (individual), since 01/01/2025; CRAWFORD, ISIAAH (individual), since 02/01/2012; DUFAULT, KARIN (individual), since 01/01/2025; 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; RIOJAS, ROGELIO (individual), since 01/01/2025; SORENSON, CHARLES (individual), since 01/01/2019; SPRUNK, ERIC (individual), since 01/01/2022
- CORPORATE OFFICER: ANDERSON, DONALD (individual), since 12/20/2016; ELMOUCHI, DARRYL (individual), since 04/01/2025; HOFFMAN, GREGORY (individual), since 10/01/2020; MARTIN, JAMES (individual), since 01/13/2023; NEWSOM, ANNA (individual), since 05/13/2022
- OPERATIONAL/MANAGERIAL CONTROL: ANDERSON, DONALD (individual), since 12/20/2016; BLAIR, RICHARD (individual), since 07/01/2016; BUCK, LINDA (individual), since 01/01/2025; CRAWFORD, ISIAAH (individual), since 02/01/2012; DUFAULT, KARIN (individual), since 01/01/2025; ELMOUCHI, DARRYL (individual), since 04/01/2025; HEJNA, DIANE (individual), since 07/01/2016; HOFFMAN, GREGORY (individual), since 10/01/2020; HUGHES, PHYLLIS (individual), since 07/01/2016; KELL, JASON (individual), since 01/01/2026; KINGSTON, MARY BETH (individual), since 09/01/2022; KLEIN, BERNARD (individual), since 02/01/2013; LYONS, MARY (individual), since 07/01/2016; MARKHAM, DONNA (individual), since 01/01/2024; MARTIN, JAMES (individual), since 01/13/2023; MURPHY, MICHAEL (individual), since 01/01/2020; NEWSOM, ANNA (individual), since 05/13/2022; O'QUINN, MARVIN (individual), since 01/01/2024; PROVIDENCE HEALTH & SERVICES (organization), since 07/01/2016; PROVIDENCE HEALTH & SERVICES - WASHINGTON (organization), since 08/08/2012; PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (organization), since 01/01/1966; PROVIDENCE ST. JOSEPH HEALTH (organization), since 07/01/2016; RIOJAS, ROGELIO (individual), since 01/01/2025; SANI AND ESHAGHIAN MD INC (organization), since 10/14/2023; SANI, SASAN (individual), since 10/14/2023; SORENSON, CHARLES (individual), since 01/01/2019; SPRUNK, ERIC (individual), since 01/01/2022
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 O20061214000035).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (organization), 100.00%, since 01/01/1966
- ADP OF THE SNF: ANNA R NEWSOM (individual), since 05/13/2022; BERNARD JAY KLEIN (individual), since 02/01/2013; DARRYL ELMOUCHI (individual), since 04/01/2025; DONALD WAYNE ANDERSON (individual), since 12/20/2016; GREGORY DAVID HOFFMAN (individual), since 10/01/2020; JAMES MARTIN (individual), since 01/13/2023; JASON KELL (individual), since 01/01/2026; PROVIDENCE HEALTH & SERVICES - WASHINGTON (organization), since 04/21/2026; SANI AND ESHAGHIAN MD INC (organization), since 04/21/2026; SASAN SANI (individual), since 10/14/2023; No owner named in the filing (organization), since 11/13/2025
- CORPORATE DIRECTOR: CHARLES WALLACE SORENSON (individual), 0.00%, since 01/01/2019; DIANE L HEJNA (individual), 0.00%, 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), 0.00%, since 02/01/2012; KARIN DUFAULT (individual), 0.00%, since 01/01/2025; LINDA BUCK (individual), 0.00%, since 01/01/2025; MARVIN O'QUINN (individual), 0.00%, since 01/01/2024; MARY BETH KINGSTON (individual), 0.00%, since 09/01/2022; MARY E LYONS (individual), 0.00%, since 07/01/2016; MICHAEL W MURPHY (individual), 0.00%, since 01/01/2020; PHYLLIS M HUGHES (individual), 0.00%, since 07/01/2016; RICHARD S BLAIR (individual), 0.00%, since 07/01/2016; ROGELIO RIOJAS (individual), 0.00%, since 01/01/2025
- CORPORATE OFFICER: ANNA R NEWSOM (individual), 0.00%, since 05/13/2022; DARRYL ELMOUCHI (individual), 0.00%, since 04/01/2025; DONALD WAYNE ANDERSON (individual), 0.00%, since 12/20/2016; GREGORY DAVID HOFFMAN (individual), 0.00%, since 10/01/2020; JAMES MARTIN (individual), 0.00%, since 01/13/2023
- OPERATIONAL/MANAGERIAL CONTROL: ANNA R NEWSOM (individual), since 05/13/2022; BERNARD JAY KLEIN (individual), since 02/01/2013; CHARLES WALLACE SORENSON (individual), since 01/01/2019; DARRYL ELMOUCHI (individual), since 04/01/2025; DIANE L HEJNA (individual), since 07/01/2016; DONALD WAYNE ANDERSON (individual), since 12/20/2016; DONNA MARKHAM (individual), since 01/01/2024; ERIC D SPRUNK (individual), since 01/01/2022; GREGORY DAVID HOFFMAN (individual), since 10/01/2020; ISIAAH D CRAWFORD (individual), since 02/01/2012; JAMES MARTIN (individual), since 01/13/2023; JASON KELL (individual), since 01/01/2026; KARIN DUFAULT (individual), since 01/01/2025; LINDA BUCK (individual), since 01/01/2025; MARVIN O'QUINN (individual), since 01/01/2024; MARY BETH KINGSTON (individual), 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; PROVIDENCE HEALTH & SERVICES (organization), since 07/01/2016; PROVIDENCE HEALTH & SERVICES - WASHINGTON (organization), since 08/08/2012; PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (organization), since 01/01/1966; PROVIDENCE ST. JOSEPH HEALTH (organization), since 07/01/2016; RICHARD S BLAIR (individual), since 07/01/2016; ROGELIO RIOJAS (individual), since 01/01/2025; SANI AND ESHAGHIAN MD INC (organization), since 10/14/2023; SASAN SANI (individual), since 10/14/2023
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; SANI AND ESHAGHIAN MD INC; No owner named in the filing; PROVIDENCE HEALTH & SERVICES; PROVIDENCE HEALTH & SERVICES - WASHINGTON; PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA; PROVIDENCE ST. JOSEPH HEALTH; SANI AND ESHAGHIAN MD INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: ANNA R NEWSOM; BERNARD JAY KLEIN; DARRYL ELMOUCHI; DONALD WAYNE ANDERSON; GREGORY DAVID HOFFMAN; JAMES MARTIN; JASON KELL; SASAN SANI; CHARLES WALLACE SORENSON; DIANE L HEJNA; DONNA MARKHAM; ERIC D SPRUNK; ISIAAH D CRAWFORD; KARIN DUFAULT; LINDA BUCK; MARVIN O'QUINN; MARY BETH KINGSTON; MARY E LYONS; MICHAEL W MURPHY; PHYLLIS M HUGHES; RICHARD S BLAIR; ROGELIO RIOJAS; ANNA R NEWSOM; DARRYL ELMOUCHI; DONALD WAYNE ANDERSON; GREGORY DAVID HOFFMAN; JAMES MARTIN; ANNA R NEWSOM; BERNARD JAY KLEIN; CHARLES WALLACE SORENSON; DARRYL ELMOUCHI; DIANE L HEJNA; DONALD WAYNE ANDERSON; DONNA MARKHAM; ERIC D SPRUNK; GREGORY DAVID HOFFMAN; ISIAAH D CRAWFORD; JAMES MARTIN; JASON KELL; KARIN DUFAULT; LINDA BUCK; MARVIN O'QUINN; MARY BETH KINGSTON; MARY E LYONS; MICHAEL W MURPHY; PHYLLIS M HUGHES; RICHARD S BLAIR; ROGELIO RIOJAS; SASAN SANI.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: PROVIDENCE ST. JOSEPH HEALTH (OTHER); TIMOTHY ROHAN (W-2 MANAGING EMPLOYEE); PROVIDENCE HEALTH & SERVICES (OTHER); SASAN SANI (W-2 MANAGING EMPLOYEE); BERNARD JAY KLEIN (W-2 MANAGING EMPLOYEE); JAMES D WATSON (CORPORATE OFFICER); GLENDA PICKETT-LYONS (W-2 MANAGING EMPLOYEE); ERIK WEXLER (CORPORATE OFFICER); CAROL ELIZABETH PACINI (CORPORATE DIRECTOR); first listed: PROVIDENCE ST. JOSEPH HEALTH (OPERATIONAL/MANAGERIAL CONTROL), associated since July 1, 2016; SANI AND ESHAGHIAN MD INC (ADP OF THE SNF), associated since April 21, 2026; SANI AND ESHAGHIAN MD INC (OPERATIONAL/MANAGERIAL CONTROL), associated since October 14, 2023; KARIN DUFAULT (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2025; KARIN DUFAULT (CORPORATE DIRECTOR), associated since January 1, 2025; DARRYL ELMOUCHI (ADP OF THE SNF), associated since April 1, 2025; DARRYL ELMOUCHI (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2025; DARRYL ELMOUCHI (CORPORATE OFFICER), associated since April 1, 2025; ANNA R NEWSOM (ADP OF THE SNF), associated since May 13, 2022; ANNA R NEWSOM (OPERATIONAL/MANAGERIAL CONTROL), associated since May 13, 2022; ERIC D SPRUNK (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2022; a listing under ADP OF THE SNF with no owner named, associated since November 13, 2025; MARY BETH KINGSTON (OPERATIONAL/MANAGERIAL CONTROL), associated since September 1, 2022; PROVIDENCE HEALTH & SERVICES (OPERATIONAL/MANAGERIAL CONTROL), associated since July 1, 2016; MICHAEL W MURPHY (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2020; DONNA MARKHAM (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2024; SASAN SANI (ADP OF THE SNF), associated since October 14, 2023; SASAN SANI (OPERATIONAL/MANAGERIAL CONTROL), associated since October 14, 2023; BERNARD JAY KLEIN (ADP OF THE SNF), associated since February 1, 2013; BERNARD JAY KLEIN (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2013; ISIAAH D CRAWFORD (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2012; GREGORY DAVID HOFFMAN (ADP OF THE SNF), associated since October 1, 2020; GREGORY DAVID HOFFMAN (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2020; MARVIN O'QUINN (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2024; DONALD WAYNE ANDERSON (ADP OF THE SNF), associated since December 20, 2016; DONALD WAYNE ANDERSON (OPERATIONAL/MANAGERIAL CONTROL), associated since December 20, 2016; CHARLES WALLACE SORENSON (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2019; JAMES MARTIN (ADP OF THE SNF), associated since January 13, 2023; JAMES MARTIN (OPERATIONAL/MANAGERIAL CONTROL), associated since January 13, 2023; ROGELIO RIOJAS (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2025; ROGELIO RIOJAS (CORPORATE DIRECTOR), associated since January 1, 2025; PHYLLIS M HUGHES (OPERATIONAL/MANAGERIAL CONTROL), associated since July 1, 2016; RICHARD S BLAIR (OPERATIONAL/MANAGERIAL CONTROL), associated since July 1, 2016; MARY E LYONS (OPERATIONAL/MANAGERIAL CONTROL), associated since July 1, 2016; DIANE L HEJNA (OPERATIONAL/MANAGERIAL CONTROL), associated since July 1, 2016; PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 1966; PROVIDENCE HEALTH & SERVICES - WASHINGTON (ADP OF THE SNF), associated since April 21, 2026; JASON KELL (ADP OF THE SNF), associated since January 1, 2026; JASON KELL (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2026; LINDA BUCK (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2025; LINDA BUCK (CORPORATE DIRECTOR), associated since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2024, enrollment ownership file; first listed: TIMOTHY ROHAN (W-2 MANAGING EMPLOYEE), associated since April 4, 2022; DONNA J MARKHAM (DIRECTOR), associated since January 1, 2024; SASAN SANI (W-2 MANAGING EMPLOYEE), associated since July 27, 2016; MARVIN R O'QUINN (DIRECTOR), associated since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- June 15, 2023, enrollment ownership file; no longer listed: KEVIN PATRICK MANEMANN (OPERATIONAL/MANAGERIAL CONTROL); DAVID M OLSEN (DIRECTOR); LUCILLE M DEAN (DIRECTOR); ERIK GOLDSCHMIDT WEXLER (OPERATIONAL/MANAGERIAL CONTROL); JOHN WHIPPLE (OFFICER); GLENN BALES (W-2 MANAGING EMPLOYEE); 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; JAMES MARTIN (OFFICER), associated since January 13, 2023; GLENDA PICKETT-LYONS (W-2 MANAGING EMPLOYEE), associated since February 1, 2023; ERIK WEXLER (OFFICER), associated since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Inspections of Providence Holy Cross Med Ctr D/P SNF
- Cycle 1: health March 27, 2026 (13 deficiencies), fire safety March 27, 2026 (4)
- Cycle 2: health March 27, 2025 (17 deficiencies), fire safety March 27, 2025 (1)
- Cycle 3: health April 14, 2024 (17 deficiencies), fire safety April 14, 2024 (0)
Deficiencies cited at Providence Holy Cross Med Ctr D/P SNF
48 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 2 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0656, resident assessment and care planning: March 27, 2026 (D, corrected April 17, 2026); April 14, 2024 (E, corrected May 6, 2024).
- F 0689, quality of life and care: March 27, 2026 (D, corrected April 17, 2026).
- F 0693, quality of life and care: March 27, 2026 (D, corrected April 17, 2026); March 27, 2025 (E, corrected April 26, 2025); April 14, 2024 (E, corrected May 6, 2024).
- F 0694, quality of life and care: March 27, 2026 (E, corrected April 17, 2026); April 14, 2024 (D, corrected May 6, 2024).
- F 0695, quality of life and care: March 27, 2026 (D, corrected April 17, 2026); December 11, 2025 (K, from a complaint, corrected January 14, 2026); March 27, 2025 (E, corrected April 26, 2025); April 14, 2024 (D, corrected May 6, 2024).
- F 0732, nursing and physician services: March 27, 2026 (B, corrected April 17, 2026).
- F 0760, pharmacy service: March 27, 2026 (D, corrected April 17, 2026); March 27, 2025 (E, corrected April 26, 2025).
- F 0761, pharmacy service: March 27, 2026 (D, corrected April 17, 2026); March 27, 2025 (D, corrected April 26, 2025).
- F 0812, nutrition and dietary: March 27, 2026 (E, corrected April 17, 2026); March 27, 2025 (E, corrected April 26, 2025); April 14, 2024 (E, corrected May 6, 2024).
- F 0842, resident assessment and care planning: March 27, 2026 (D, corrected April 17, 2026).
- F 0880, infection control: March 27, 2026 (D, corrected April 17, 2026); March 27, 2025 (E, corrected April 26, 2025); April 14, 2024 (D, corrected May 6, 2024).
- F 0883, infection control: March 27, 2026 (D, corrected April 17, 2026); March 27, 2025 (D, corrected April 26, 2025).
- F 0550, resident rights: March 27, 2025 (D, corrected April 26, 2025); April 14, 2024 (D, corrected May 6, 2024).
- F 0552, resident rights: March 27, 2025 (D, corrected April 26, 2025).
- F 0558, resident rights: March 27, 2025 (D, corrected April 26, 2025).
- F 0604, freedom from abuse, neglect, and exploitation: March 27, 2025 (D, corrected April 26, 2025); April 14, 2024 (E, corrected May 6, 2024).
- F 0641, resident assessment and care planning: March 27, 2025 (B, corrected April 26, 2025); April 14, 2024 (B, corrected May 6, 2024).
- F 0658, resident assessment and care planning: March 27, 2025 (E, corrected April 26, 2025).
- F 0690, quality of life and care: March 27, 2025 (D, corrected April 26, 2025); April 14, 2024 (G, corrected May 6, 2024).
- F 0757, pharmacy service: March 27, 2025 (D, corrected April 26, 2025).
- F 0835, administration: March 27, 2025 (F, corrected April 26, 2025).
- F 0881, infection control: March 27, 2025 (D, corrected April 26, 2025); April 14, 2024 (E, corrected May 6, 2024).
- F 0580, resident rights: April 14, 2024 (G, corrected May 6, 2024).
- F 0640, resident assessment and care planning: April 14, 2024 (B, corrected May 6, 2024).
- F 0686, quality of life and care: April 14, 2024 (E, corrected May 6, 2024).
- F 0700, quality of life and care: April 14, 2024 (E, corrected May 6, 2024).
- F 0755, pharmacy service: April 14, 2024 (D, corrected May 6, 2024).
- F 0758, pharmacy service: April 14, 2024 (D, corrected May 6, 2024).
- F 0684, quality of life and care: September 29, 2023 (D, from a complaint, corrected October 15, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 14, 2024 | Fine | $97,923 | 130976 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Providence Holy Cross Med Ctr D/P SNF in Care Compare
- Ownership Type: Non profit - Corporation
- Legal Business Name: PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
- Date First Approved to Provide Medicare and Medicaid Services: 1978-10-01
- Provider Resides in Hospital: Y
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Los Angeles
- Telephone Number: 8188984630
- Chain Name: PROVIDENCE HEALTH & SERVICES
- Chain ID: 430
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Both
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 44.6
- Overall Rating: 1
- Health Inspection Rating: 1
- QM Rating: 1
- Long-Stay QM Rating: 1
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.
Nothing on file for Providence Holy Cross Med Ctr D/P SNF: no Medicare cost report.
Other nursing facilities in MISSION HILLS and California
- Ararat Nursing Facility
- STILLWATER POST-ACUTE EL CAJON
- CRESCENT COURT NURSING HOME LODI
- TRACY NURSING AND REHABILITATION CENTER TRACY
- Del Mar Convalescent Hospital ROSEMEAD
- VALLEY POINTE NURSING & REHABILITATION CENTER CASTRO VALLEY
- Manzanita Healthcare Center Carmichael
- DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE INDIO
Report a figure on Providence Holy Cross Med Ctr D/P SNF’s record that differs from its CMS file, quoting 555074.