Nursing HomeInspections

Maclay Healthcare Center

Nursing home in Sylmar, CA

Medicare & Medicaid certified2★ overall (CMS)SFF candidate (CMS)

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Public-record details

Address
12831 Maclay Street, Sylmar, CA 91342
Phone
(818) 361-4455
Listed under
For-profit
Medicare CCN
555583
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
141
Average residents per day
128
Ownership
For-profit, limited Liability company
Legal business name
Maclay Healthcare LLC
Chain
Serrano Group (11 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1993
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 555583. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jan 16, 2026. CMS lists 168 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 6, 2023 to Jul 21, 2026): 76 from complaint inspections, 10 at the “actual harm” level or higher, including 5 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Jul 21, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Jun 9, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 9, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 9, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 29, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 29, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Apr 29, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
E
Potential for more than minimal harm, pattern
Apr 29, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Apr 14, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 14, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 14, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 14, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 168. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 7 fines totalling $349,023 and 4 denials of Medicare payment for new admissions in the last three years.

Jul 21, 2026Fine: $22,895
Apr 29, 2026Fine: $12,747
Jan 16, 2026Fine: $44,450
Jan 16, 2026Payment denial for 38 days from Feb 17, 2026
Mar 22, 2025Fine: $52,142
Mar 22, 2025Payment denial for 20 days from Apr 19, 2025
Oct 11, 2024Fine: $17,660
Oct 11, 2024Fine: $112,506
Oct 11, 2024Payment denial for 14 days from Nov 22, 2024
Jun 7, 2024Fine: $86,623

Showing the 10 most recent of 11.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.00 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
2.48 hours
Total nurse staffing on weekends
3.76 hours
Nursing staff turnover (yearly)
36%
RN turnover (yearly)
47%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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