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NURSING HOME INSPECTION REPORT

Valley Palms Care Center in North Hollywood: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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13400 Sherman Way, North Hollywood · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 3 state citations for Valley Palms Care Center since 2023, including 0 Class AA and 0 Class A, and 2 federal deficiencies that inspectors rated at the actual-harm level or higher (G through L). The most serious federal finding was F805 (Food in Form to Meet Individual Needs) at severity level J (immediate jeopardy, one or a few residents), from the survey dated January 18, 2025. The federal Medicare Care Compare site does not show its abuse icon for this facility as of our data date. Cal Health Find also lists 12 complaint or incident reports since 2023 that included a sexual abuse allegation; CDPH substantiated 0.

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Valley Palms Care Center at a glance: owner, beds and ratings

Address
13400 Sherman Way, North Hollywood, CA 91605
CDPH license / facility ID
920000077 / 920000057
Medicare CCN
055287
Licensed beds
99
Licensee (CDPH)
13400 SHERMAN WAY, LLC
Chain / affiliated entity (CMS)
Cambridge Healthcare Services (chain or affiliated entity listed by CMS)
Administrator of record
Gordillo, Fredie
CMS overall rating
1 of 5 stars
CMS staffing rating
4 of 5 stars
Nurse staffing (CMS)
4.20 reported nurse hours per resident per day*
CMS fines (last 3 years)
$33,681
CMS abuse icon
Not shown

* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.

Records: Cal Health Find ↗ · Medicare Care Compare ↗

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Valley Palms Care Center citations and inspection findings

Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.

DateSourceFindingRecord
June 18, 2026State (CDPH)Class B Trebled citation (Patient Rights), penalty $9,000Government record (CDPH) ↗
May 4, 2026Federal (CMS-2567), CertificationF602 – Free from Misappropriation/Exploitation, severity D (no actual harm, potential for more than minimal harm, isolated)
F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
April 20, 2026Federal (CMS-2567), ComplaintF607 – Develop/Implement Abuse/Neglect Policies, severity D (no actual harm, potential for more than minimal harm, isolated)
F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
February 12, 2026Federal (CMS-2567), ComplaintF610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
December 18, 2025Federal (CMS-2567), ComplaintF600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
October 16, 2025State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
September 4, 2025Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
June 18, 2025State (CDPH)Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000Government record (CDPH) ↗
March 7, 2025State (CDPH)Class B citation (Dietary), penalty $2,000Government record (CDPH) ↗
January 18, 2025Federal (CMS-2567), CertificationF805 – Food in Form to Meet Individual Needs, severity J (immediate jeopardy, one or a few residents)
Read what inspectors found ↓
Government record (CDPH) ↗
February 17, 2024Federal (CMS-2567), CertificationF689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
Falls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗

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What inspectors found at Valley Palms Care Center

Tap a finding to read the summary. Each one is written from the government report linked under it.

·
January 2025: F805 (severity J) after a resident on a puree diet was served bread that failed a texture test

The 2567 report states Resident 1 had dysphagia (difficulty swallowing) and a physician's order for a puree diet. Inspectors found that on January 19, 2025, Cook 1 made the puree bread for lunch and poured in thickener without measuring it. Cook 1 told inspectors she did not measure the bread or the thickener and judged the texture by eye and from experience.

The 2567 report states the dietary supervisor tested the bread on a test tray and said it was too sticky and did not pass the spoon tilt test (a check that puree food slides off a tilted spoon). She said Cook 1 was not following the recipe. Inspectors found a speech therapist, the dietitian and the director of nursing all said food that is too thick or sticky can make swallowing harder and lead to choking or aspiration (food entering the lungs).

The 2567 report states inspectors called an immediate jeopardy on January 20, 2025, and removed it on January 22 after verifying the facility's removal plan. Under that plan, Resident 1 was assessed with no signs of aspiration, Cook 1 was taken off the schedule and retrained, kitchen staff were trained on puree recipes, and staff began daily texture tests of puree meals for 90 days. The facility was cited under F805 (food in a form to meet individual needs) at severity J.

↑ Back to this finding in the timeline

February 2024: F689 (severity G) after a resident fell from bed while being turned by one aide

The 2567 report states Resident 28 was unable to move from the neck down, had severely impaired thinking, was assessed as at risk for falls and lay on a low air loss mattress (an air mattress that relieves pressure on the skin). Her bed had no side rails. The facility's repositioning policy called for two people and a draw sheet when turning a resident in bed.

According to the 2567 report, at about 2:30 p.m. on February 6, 2024, CNA 5 was changing Resident 28's brief alone. CNA 5 told inspectors that, as usual, she had no help, and that when she turned the resident and pulled the sheet, the resident fell out of bed and hit the left side of her head on the closet. Inspectors found Resident 28 had a bump and a 3.5 by 3 centimeter abrasion (scrape) on her forehead. She was sent to an acute care hospital and returned that night with no additional injuries.

Inspectors found Resident 28's care plan did not state how many staff were needed to turn her, and the facility had no policy on safety for residents on low air loss mattresses. A licensed vocational nurse, the director of staff development and the director of nursing told inspectors they were not aware the policy called for two-person help. The facility was cited under F689 (accident hazards and supervision) at severity G.

↑ Back to this finding in the timeline

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Complaints against Valley Palms Care Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
20233224818
20244124175
2025368284
2026196131

Cal Health Find lists 128 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 28 of them. 65 intakes involved an allegation in CDPH’s abuse category, and 4 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.

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Sexual abuse reports at Valley Palms Care Center

Cal Health Find lists 12 intakes for Valley Palms Care Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (3 from complaints and 9 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 0 of them. Federal rules require a nursing home to report an abuse allegation to the state within two hours, so a facility-reported incident means staff raised the allegation, not that it was proven. “Unsubstantiated” means CDPH did not find enough evidence; it does not mean nothing happened.

YearIntakes with a sexual abuse allegationSubstantiated
202320
202430
202530
202640

Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →

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Staffing at Valley Palms Care Center

Payroll records Valley Palms Care Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.20 nursing hours per resident per day, counting registered nurses (RNs), licensed vocational nurses and nurse aides. The California average CMS published for the same period is 4.54, and the Los Angeles County median is 4.32. RN time averaged 0.47 hours per resident per day (California average 0.68). Staffing averaged 3.81 hours on weekends and 4.36 on weekdays.

CMS reports nursing staff turnover of 25.7% at this facility (California average 36.6%) and RN turnover of 11.1% (California average 37.8%).

California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day (Health and Safety Code section 1276.65). Counting the RN, LVN and nurse aide hours in the same payroll data, Valley Palms Care Center was below 3.5 on 1 of 91 days. This is our calculation from CMS data, not a CDPH finding: CDPH counts some staff differently (for example psychiatric technicians in special treatment programs) and can grant waivers.

Valley Palms Care CenterLA County medianCalifornia average
Total nursing hours per resident per day4.204.324.54
RN hours per resident per day0.470.460.68
Weekend nursing hours per resident per day3.813.894.10
Nursing staff turnover25.7%34.1%36.6%

Compare staffing, profits and fines across Los Angeles County nursing homes →

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Who owns Valley Palms Care Center

The owners and operators below are listed for Valley Palms Care Center in the federal CMS nursing home ownership file (data as of October 1, 2026). CMS requires each Medicare-certified nursing home to report anyone with a 5% or greater ownership stake and anyone with operational or managerial control.

Owner or operatorRoleShareSince
Win Win Enterprises, LLC5% or greater direct ownership45%January 1, 1992
Wolff Living Trust Dtd 03/09/20005% or greater direct ownership10%January 1, 1992
Baruch Deutsch5% or greater direct ownership5%September 13, 1999
Maureen Latt5% or greater direct ownership5%September 13, 1999
Cambridge Healthcare Services LLCOperational or managerial control–April 1, 2014
Julie ButenkoOperational or managerial control–July 24, 2023
Heidi CapelaOperational or managerial control–April 3, 2023
Edmond DerderianOperational or managerial control–July 2, 2013
Fredie GordilloOperational or managerial control–March 12, 2024
Lance HassellOperational or managerial control–April 25, 2022
Linda LutzOperational or managerial control–February 1, 2012
Amanda MooreOperational or managerial control–May 8, 2023
Arlene PunzalanOperational or managerial control–January 6, 2025
Paulina SalazarOperational or managerial control–December 14, 2020
Ira SmedraOperational or managerial control–January 1, 1992
Jacob WintnerOperational or managerial control–January 1, 1992

In its annual report to the California Department of Health Care Access and Information (HCAI) for the year ending December 31, 2025, the facility listed $1.5 million in payments to related companies (businesses that share owners or management with the facility): $940,551 to Cambridge Healthcare Services, LLC for a&g – professional fees: management; $607,448 to Sherman Way Real Estate Co., LLC for lease/building rent. Payments to related companies are legal; California requires nursing homes to disclose them.

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Valley Palms Care Center finances

Valley Palms Care Center reported $17.1 million in health care revenue and net income of $2.2 million for the year ending December 31, 2025, a margin of 12.8%, in its annual financial report to HCAI (as submitted; HCAI has not finished reviewing it). The median operating margin that year was 5.9% for Los Angeles County nursing homes and 6.1% statewide. Medi-Cal paid for 65% of resident days. Salaries for RNs, LVNs and nurse aides came to $3.7 million.

YearRevenueNet incomeMarginOccupancyMedi-Cal days
2023$15.3 million$1.8 million12.0%95%–
2024$16.2 million$1.3 million8.2%97%67%
2025$17.1 million$2.2 million12.8%96%65%

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Federal fines and penalties: Valley Palms Care Center

CMS lists 2 federal fines totaling $33,681 and 1 Medicare payment denial for Valley Palms Care Center in the roughly three years its penalty file covers.

DatePenaltyAmount or length
January 22, 2025Fine$17,332
February 18, 2024Fine$16,349
February 18, 2024Payment denial5 days

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Valley Palms Care Center lawsuits and criminal cases

Our search of California Attorney General and Los Angeles County District Attorney announcements, court reports and news coverage for Valley Palms Care Center is not finished yet. This section will be updated when it is; until then, do not read the absence of a case here as a finding that none exists.

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What this record means for your family

California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.

Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.

Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.

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What to do now

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Questions families ask

Has Valley Palms Care Center been cited by the State of California?

Cal Health Find lists 3 state citations for Valley Palms Care Center since 2023, including 0 Class AA and 0 Class A. Each one is listed in the timeline above with a link to the CDPH record.

How many complaints have been filed against Valley Palms Care Center?

From 2023 through October 30, 2026, Cal Health Find lists 128 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 28 of them.

Does Medicare flag Valley Palms Care Center for abuse?

As of our data date, Medicare Care Compare does not show its abuse icon for Valley Palms Care Center. The icon is only one signal; read the citations above.

Have there been sexual abuse reports at Valley Palms Care Center?

Cal Health Find lists 12 complaint or facility-reported incident intakes at Valley Palms Care Center since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 0. The section above breaks them down by year.

Where can I read reviews and complaints about Valley Palms Care Center?

Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.

How many beds does Valley Palms Care Center have?

Valley Palms Care Center is licensed by CDPH for 99 beds and has a CMS overall rating of 1 out of 5 stars.

Who owns or operates Valley Palms Care Center?

CDPH lists the licensee as 13400 SHERMAN WAY, LLC. CMS lists the facility under the chain or affiliated entity Cambridge Healthcare Services. According to the CMS ownership file, Win Win Enterprises, LLC holds 45% as a direct owner. The full list of owners and operators CMS reports is in the ownership section of this page.

How many nursing hours does Valley Palms Care Center provide per resident?

Payroll data the facility filed with CMS for April through June 2026 show 4.20 total nursing hours per resident per day, including 0.47 RN hours. The California average is 4.54.

My parent was hurt at Valley Palms Care Center. What should I do?

Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.

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Other nursing homes near Valley Palms Care Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Grand Valley Health Care CenterVan Nuys0.2 mi1/522
The Care Center on Hazeltine, LLCVan Nuys1.0 mi4/502
Valley Village Care CenterNorth Hollywood1.1 mi2/500
All Saints HealthcareNorth Hollywood2.0 mi2/524
The Meadows Post AcutePanorama City2.3 mi2/503
California Healthcare and Rehabilitation CenterVan Nuys2.4 mi1/510

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Methodology and sources

We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.

Sources

  1. Cal Health Find – Valley Palms Care Center
  2. Medicare Care Compare – Valley Palms Care Center
  3. CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
  4. CMS – Nursing home Provider Information (staffing, turnover)
  5. CMS – Nursing home Ownership
  6. CMS – Nursing home Penalties
  7. HCAI – Long-Term Care Facility Financial Data
  8. CDPH – State Enforcement Actions (open data)
  9. CMS Provider Data Catalog – Nursing homes

Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.

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