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Grand Valley Health Care Center at a glance: owner, beds and ratings
* 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 ↗
Grand Valley Health 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.
| Date | Source | Finding | Record |
|---|---|---|---|
| February 13, 2026 | State (CDPH) | Class A citation (Dietary), penalty $20,000, appealed by the facility Read what inspectors found ↓ | Government record (CDPH) ↗ |
| December 29, 2025 | Federal (CMS-2567), Certification | F805 – Food in Form to Meet Individual Needs, severity J (immediate jeopardy, one or a few residents) Read what inspectors found ↓ | Government record (CDPH) ↗ |
| June 12, 2025 | State (CDPH) | Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000 | Government record (CDPH) ↗ |
| March 5, 2025 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| January 21, 2025 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| October 17, 2024 | Federal (CMS-2567), Complaint | F607 – 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) ↗ |
| September 10, 2024 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| September 6, 2024 | State (CDPH) | Class A citation (Patient Care), penalty $20,000, appealed by the facility Read what inspectors found ↓ | Government record (CDPH) ↗ |
| May 9, 2023 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| May 1, 2023 | Federal (CMS-2567), Complaint | F600 – Free from Abuse and Neglect, severity G (actual harm, one or a few residents) Abuse Read what inspectors found ↓ | Government record (CDPH) ↗ |
What inspectors found at Grand Valley Health Care Center
Tap a finding to read the summary. Each one is written from the government report linked under it.
February 2026: Class A citation and F805 (severity J) after a resident on thickened liquids was served thin coffee with a straw
According to the citation, CDPH made an unannounced visit on December 29, 2025 for the facility's annual recertification survey. Resident 56 had dysphagia (trouble swallowing) after a stroke and was at risk for aspiration (food or liquid going into the airway). Her physician's order called for pureed food and nectar or mildly thick liquids, and her swallowing care plan said not to use straws.
Inspectors observed that at lunch that day the resident was drinking thin, water-like coffee through a straw and coughed after drinking it. CDPH found that a licensed vocational nurse and two restorative nursing assistants in the dining room did not check that the coffee had the right thickness, and that staff did not follow the diet order, the care plans or the facility's policies. The department determined this put her at risk of choking and aspiration pneumonia (a lung infection from inhaling food or liquid), which could lead to hospitalization or death. The 2567 report also states that pureed bean chili and pureed salad were watery and failed a spoon tilt test, which could affect 19 of 82 residents on pureed diets.
CDPH issued a Class A citation in the dietary category and assessed a $20,000 penalty, and the department's record shows the citation was appealed. The 2567 report cited F805 (severity J). According to the report, inspectors called an immediate jeopardy on December 30, 2025. The facility's removal plan included a nursing assessment, an order for a chest X-ray and a speech therapy evaluation.
September 2024: Class A citation after a resident's thyroid medication was not ordered for a month
According to the citation, CDPH made an unannounced visit on July 17, 2024 to investigate a complaint about quality of care. Resident 1 had a history of hypothyroidism (an underactive thyroid gland) and had taken levothyroxine, a thyroid hormone pill, once a day at home, according to the hospital records CDPH reviewed.
CDPH found that the resident's primary physician, who had also cared for her at the hospital, did not review her home medication list and did not prescribe levothyroxine when she was admitted to the facility on May 26, 2024. The physician orders from May 26 to June 25 had no levothyroxine order, and the director of nursing told inspectors the medication was never prescribed during her stay. As a result, the citation states, the resident missed 30 doses. On June 25, 2024, she passed out in the shower room and paramedics took her to a hospital, where she was diagnosed with myxedema coma (severe hypothyroidism that lowers alertness and body temperature and slows many organs) and admitted to the intensive care unit. The physician told inspectors he would have continued the medication if he had reviewed the list.
The department determined the violation presented imminent danger or a substantial probability of death or serious physical harm to Resident 1. CDPH issued a Class A citation for patient care and assessed a $20,000 penalty. The department's record shows the citation was appealed.
May 2023: F600 (severity G) after two residents threw a water pitcher and a cane at each other
According to the 2567 report, inspectors found the facility did not protect two residents from physical abuse during an altercation on April 28, 2023. A case manager told inspectors he heard yelling from the room the two residents shared at about noon, saw them throw a water pitcher and a cane at each other's heads, and separated them.
The report states that Resident 1 was sent to a hospital, where a cut to the left eyebrow was closed with sutures (stitches). Resident 2 had a skin tear on the middle of the forehead and the left eyebrow. Inspectors found Resident 1 had moderately impaired thinking and Resident 2 had severely impaired thinking. When inspectors spoke with Resident 1 on May 1, the stitches were still visible, and he did not recall the incident.
According to the report, the administrator, who was the facility's abuse coordinator, told inspectors the two residents had abused each other and that he considered the throwing deliberate. Inspectors noted that the facility's own abuse policy treats willful resident-to-resident actions that cause injury as abuse. The deficiency was cited as F600 (severity G), which covers freedom from abuse and neglect.
Complaints against Grand Valley Health Care Center
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 19 | 16 | 3 | 5 |
| 2024 | 14 | 10 | 4 | 5 |
| 2025 | 24 | 22 | 2 | 8 |
| 2026 | 7 | 7 | 0 | 1 |
Cal Health Find lists 64 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 19 of them. 13 intakes involved an allegation in CDPH’s abuse category, and 7 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.
Sexual abuse reports at Grand Valley Health Care Center
Cal Health Find lists 1 intake for Grand Valley Health Care Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (1 from complaints and 0 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.
| Year | Intakes with a sexual abuse allegation | Substantiated |
|---|---|---|
| 2025 | 1 | 0 |
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 →
Grand Valley Health 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 Grand Valley Health 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.
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.
What to do now
- If someone is in danger, call 911.
- File a complaint with CDPH about Grand Valley Health Care Center: CDPH complaint form ↗
- Contact the long-term care ombudsman, the state-funded advocate for nursing home residents: California Long-Term Care Ombudsman ↗
- Ask the facility in writing for a copy of the resident’s chart, and write down dates, names of staff on shift, and photos of any injury.
- Talk to a Los Angeles nursing home abuse lawyer →
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Questions families ask
Has Grand Valley Health Care Center been cited by the State of California?
Cal Health Find lists 4 state citations for Grand Valley Health Care Center since 2023, including 0 Class AA and 2 Class A. Each one is listed in the timeline above with a link to the CDPH record.
How many complaints have been filed against Grand Valley Health Care Center?
From 2023 through October 30, 2026, Cal Health Find lists 64 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 19 of them.
Does Medicare flag Grand Valley Health Care Center for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for Grand Valley Health Care Center. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at Grand Valley Health Care Center?
Cal Health Find lists 1 complaint or facility-reported incident intake at Grand Valley Health 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 Grand Valley Health 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 Grand Valley Health Care Center have?
Grand Valley Health 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 Grand Valley Health Care Center?
CDPH lists the licensee as GRAND VALLEY HEALTH CARE CENTER, LLC. CMS lists the facility under the chain or affiliated entity The Mandelbaum Family.
My parent was hurt at Grand Valley Health 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 Grand Valley Health Care Center
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Valley Palms Care Center | North Hollywood | 0.2 mi | 1/5 | 0 | 2 |
| The Care Center on Hazeltine, LLC | Van Nuys | 0.8 mi | 4/5 | 0 | 2 |
| Valley Village Care Center | North Hollywood | 1.2 mi | 2/5 | 0 | 0 |
| All Saints Healthcare | North Hollywood | 2.2 mi | 2/5 | 2 | 4 |
| California Healthcare and Rehabilitation Center | Van Nuys | 2.2 mi | 1/5 | 1 | 0 |
| The Meadows Post Acute | Panorama City | 2.2 mi | 2/5 | 0 | 3 |
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
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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