Maclay Healthcare Center

SYLMAR, CA • CMS Certification: 555583

  • Date Updated: May 01, 2026
  • Overall Rating: 2 Stars
  • Address: 12831 MACLAY STREET, SYLMAR CA 91342
  • Phone: 8183614455

About Maclay Healthcare Center

Maclay Healthcare Center, located in SYLMAR, CA, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Maclay Healthcare Center

  • More Nursing Time: Staff spends 4.20 hours per resident daily (National Avg: 3.87).

Key Performance Indicators

  • CMS Overall Rating 2 Stars
  • Nursing Hours 4.20 hrs
  • Safety Record Issues

Chain Affiliations & Network

This facility is part of the SERRANO GROUP network. This chain operates 11 facilities.

Chain Performance Overview

Inspection
2.0
Staffing
3.1
Quality
4.4

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Mixed Staffing Levels

Maclay Healthcare Center provides less care hours than the state average and more than the national average.

Registered Nurses (RN)

0.43 hrs/day
State: 0.67 US: 0.68
Case Mix Adj: 0.69
Quality Adj: 0.43

Licensed Practical Nurses

1.61 hrs/day
State: 1.88 US: 1.54
Case Mix Adj: 0.87
Quality Adj: 1.16

Certified Assistants

2.59 hrs/day
State: 2.65 US: 2.33
Case Mix Adj: 2.36
Quality Adj: 2.54

CMS Quality Ratings

Category Rating Stars
Overall Rating 2
Health Inspection 1
Quality Measures 5
Staffing 3

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 552 Jan 16, 2026
Weighted Average 814 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 18.4%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 7.3%
Number of hospitalizations per 1000 long-stay resident days (QM551) 3.8%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) 2.0%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 5.1%
Percentage of long-stay residents who lose too much weight (QM404) 4.3%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 0.4%
Percentage of long-stay residents with a urinary tract infection (QM407) 1.4%
Percentage of long-stay residents who have depressive symptoms (QM408) 8.2%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 0.7%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 99.1%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 94.3%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 0.0%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 3.3%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 17.8%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 99.2%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 91.7%
Percentage of long-stay residents with pressure ulcers (QM479) 5.1%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 15.5%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 8.9%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 35 complaints
  • 2024: 32 complaints
  • 2025: 24 complaints
  • 2026: 3 complaints
  • Total: 94 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Mar 27, 2026 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 27, 2026 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Mar 27, 2026 Respond appropriately to all alleged violations.
Oct 15, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Sep 19, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Sep 19, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Aug 12, 2025 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jun 27, 2025 Provide or get specialized rehabilitative services as required for a resident.
Jun 27, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 27, 2025 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jun 27, 2025 Provide enough food/fluids to maintain a resident's health.
May 09, 2025 Provide and implement an infection prevention and control program.
Apr 18, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Apr 18, 2025 Keep residents' personal and medical records private and confidential.
Apr 18, 2025 Respond appropriately to all alleged violations.
Apr 18, 2025 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Apr 18, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 18, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 18, 2025 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Feb 12, 2025 Ensure that residents are free from significant medication errors.
Feb 12, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 04, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 09, 2025 Ensure that residents are free from significant medication errors.
Jan 09, 2025 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jan 09, 2025 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jan 09, 2025 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Jan 09, 2025 Allow residents to self-administer drugs if determined clinically appropriate.
Dec 30, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nov 11, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 11, 2024 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 08, 2024 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nov 08, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Sep 26, 2024 Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Sep 26, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Sep 23, 2024 Provide and implement an infection prevention and control program.
Sep 23, 2024 Ensure residents have reasonable access to and privacy in their use of communication methods.
Sep 16, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Aug 29, 2024 Respond appropriately to all alleged violations.
Aug 29, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Aug 20, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jul 15, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 15, 2024 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Jul 15, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jul 15, 2024 Reasonably accommodate the needs and preferences of each resident.
Jul 15, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jul 15, 2024 Respond appropriately to all alleged violations.
Jul 15, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jul 15, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jul 15, 2024 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Jul 15, 2024 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Apr 27, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Apr 27, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Mar 06, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Feb 16, 2024 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Feb 16, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Feb 16, 2024 Provide safe, appropriate pain management for a resident who requires such services.
Feb 16, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 16, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Feb 16, 2024 Provide and implement an infection prevention and control program.
Dec 24, 2023 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Dec 14, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 15, 2023 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Oct 31, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 31, 2023 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Oct 31, 2023 Reasonably accommodate the needs and preferences of each resident.
Oct 31, 2023 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Oct 31, 2023 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Oct 31, 2023 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Oct 31, 2023 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Oct 31, 2023 Provide and implement an infection prevention and control program.
Oct 31, 2023 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Oct 31, 2023 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Oct 31, 2023 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Oct 31, 2023 Ensure each resident?s drug regimen must be free from unnecessary drugs.
Oct 30, 2023 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Oct 15, 2023 Ensure services provided by the nursing facility meet professional standards of quality.
Oct 13, 2023 Ensure that residents are free from significant medication errors.
Sep 15, 2023 Provide and implement an infection prevention and control program.
Sep 08, 2023 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Sep 08, 2023 Provide safe, appropriate pain management for a resident who requires such services.
Aug 21, 2023 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 10, 2023 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Aug 10, 2023 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Aug 10, 2023 Keep residents' personal and medical records private and confidential.
Jul 16, 2023 Provide and implement an infection prevention and control program.
Jul 16, 2023 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 15, 2023 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 15, 2023 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jul 15, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 15, 2023 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Jul 15, 2023 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 15, 2023 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
May 30, 2023 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 30, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Owner & Operator Information

Business Entity

MACLAY HEALTHCARE LLC

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Related Analysis

Best Nursing Homes in SYLMAR, CA

Compare Maclay Healthcare Center to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Maclay Healthcare Center has a 2-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 4.20 hours per resident daily, compared to the national average of 3.87 hours.

Maclay Healthcare Center is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 141 certified beds.

Maclay Healthcare Center accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Maclay Healthcare Center directly at 8183614455. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Maclay Healthcare Center, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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