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Nursing HomeMedicaid Investigative

Stoney Point Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

21820 Craggy View St., Chatsworth · Chatsworth, CA 91311132 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 41 Google reviews

5
4
3
2
1
Stoney Point Healthcare Center Nursing Home in Chatsworth, CA — Street View
Street View

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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Above-median deficiencies (20 vs median 13.0)
  • High RN turnover (60%)

Below average in CA · Below recommended RN staffing · Low staff turnover (stable workforce)

Source: Medicare data

What this means for your family

This facility is a strong candidate for rehabilitation and memory care due to its highly praised therapy team and compassionate nursing staff. However, families must remain vigilant and perform frequent unannounced visits, as there is a documented history of serious safety issues, including medication errors and inadequate management of aggressive residents.

Google Reviews

Google Reviews

41 reviews on Google
Families often praise the facility for its compassionate nursing staff and high-quality physical and occupational therapy, particularly for patients recovering from surgery or managing Alzheimer's. However, there are significant, recurring reports of serious safety concerns, including patient physical abuse, medication errors, and inadequate supervision of aggressive residents. While recent reviews suggest an improvement in management and culture, historical patterns of neglect and poor communication remain a critical point of concern.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean8.0Activities7.0Meds2.0Memory7.0Comms4.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • High-quality physical and occupational therapy
  • Effective care for Alzheimer's and dementia patients
  • Clean and well-maintained facility

Concerns

  • Patient safety and physical abuse by staff (mentioned by 2 reviewers)
  • Inadequate management of aggressive or mentally ill residents (mentioned by 3 reviewers)
  • Medication errors and nursing irregularities (mentioned by 2 reviewers)
  • Poor communication from administration/social workers (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(5)'21(1)'23(4)'25(7)'26(3)

Distribution · 44 analyzed

5
27
4
2
3
1
2
1
1
13

How They Respond to Reviews

8%response rate
Good

The administrator provides personalized responses that address reviewers by name and express empathy for their specific situations. The pattern focuses on moving the conversation offline by providing direct contact information to resolve grievances.

Questions for Your Tour

  • 1I've heard wonderful things about your physical and occupational therapy programs; could you tell me more about how those are integrated into a resident's daily routine?
  • 2With the focus on dementia care mentioned in some feedback, how does the staff specifically manage the needs of residents who may become more agitated or aggressive?
  • 3How does the nursing team ensure accuracy in medication administration and manage any changes in a resident's prescriptions?
  • 4What is the process for communicating important medical updates or changes in condition from the nursing staff to the family members?
  • 5Could you describe the dining experience here, specifically regarding how mealtime is organized and how you ensure nutritional needs are met?
  • 6What protocols are in place to ensure resident safety and prevent falls or incidents during the night shift?

Personalized based on this facility's data


Key Review Excerpts

Of the 5+ skilled nursing facilities he had been admitted to, Stoney Point was the ONLY facility he did not get bed sores in.

Long-term resident's family · 2025★★★★★

The facility has made an improvement over the years. I’ve had my loved one at Stoney Point for over 7 years and the culture has definitely changed for the better thanks to the new management.

Long-term resident's family · 2024★★★★★

My mother was attacked by a CNA on 2 occasions and then with a different person, in fact several people told me to investigate that place.

Long-term resident's family · 2024☆☆☆☆
Source: 41 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
50%
Registered nurses for medical care
Total Nursing
3.70hrs
90%
All nurses + aides combined
Staff Turnover
20%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
US
19.4%
CA
10.7%
Los angeles
9.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
15.3%
CA
10.5%
Los angeles
9.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
19.5%
CA
13.7%
Los angeles
10.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
14.4%
CA
10.4%
Los angeles
12.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Los angeles
99.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
CA
98.2%
Los angeles
97.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
1penalties
Above state avg (15.4)
11 complaint-triggered

Families filed multiple complaint reports triggering 10 deficiencies, including serious concerns about resident protection from abuse and neglect in 2024. The facility shows recurring problems with care planning, resident rights, and building safety systems across multiple surveys. While all cited issues have correction dates, the pattern of repeated deficiencies in core care areas and complaint-driven investigations suggests ongoing operational challenges families should investigate thoroughly.

Jan 22, 2026Complaint
2
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Sep 5, 2025Complaint
1
0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Jul 3, 2025Routine
26
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0605Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0037Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

May 9, 2025Complaint
1
0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Feb 27, 2025Complaint
1
0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

Oct 18, 2024Complaint
1
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Federal Penalties

Payment Denial

Jul 19, 2024

3-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stoney Point Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 127 of 260

Ownership & Management

Key personnel

Rutherford, KeinoContracted Managing EmployeeHartley, SamuelW-2 Managing EmployeeApt, FrederickOfficer / DirectorHancock, MarkOfficer / DirectorJergensen, JoshuaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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