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ICF/DD-N (Nursing)License activeMedi-Cal certified

MOMENTUM AGENCIES ICF/DD-N HILLCREST

ICF/DD-N (Nursing) · 15 licensed beds · Westlake Village, CA

Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.

Address

MOMENTUM AGENCIES ICF/DD-N HILLCREST2170 N WESTLAKE BLVDWestlake Village, CA 91362 · Ventura County

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
15
Licensee
MOMENTUM AGENCIES · Nonprofit Corp
Administrator
REYNOLDS, RACHEL L
CDPH facility ID
050000468
License number
050000221
First licensed
April 21, 1988
Current license
Jan 8, 2026 to Jan 7, 2027
CDPH district office
Ventura

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G321
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
April 21, 1988
Last certification survey
September 5, 2025
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Other
Ownership type (CMS)
Private (non-profit)
Certified beds (CMS)
15
Staffing reported to CMS
RN 2 · LVN/LPN 3 · direct care 19 · all employees 24

State citations and penalties (CDPH)

3 penalties, newest first

CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Dec 11, 2018 · Penalty #050014753 · Survey PJO911

    Status: Closed · Not appealed

    $1,805

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Sep 18, 2010 · Penalty #050007674 · Survey 56PP11

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Sep 18, 2010 · Penalty #050009214 · Survey 56PP11

    Status: Closed · Not appealed

    $1,000

Federal inspections (CMS-2567)

70 surveys since 2018 · CMS data through Oct 12, 2026

CDPH surveys certified ICFs for CMS. Each deficiency is a W-tag (a federal ICF/IID requirement), an E-tag (emergency preparedness) or a K-tag (Life Safety Code), cited at the standard level or, more seriously, the condition level. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

  1. · Complaint

    Event 84XV11 · no deficiencies cited

    Official 2567 ↗
  2. · Complaint

    Event UHQ811 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint

    Event 0SCR11 · 1 deficiency

    Official 2567 ↗
  4. · Complaint

    Event 3IZB11 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event E45011 · no deficiencies cited

    Official 2567 ↗
  6. · Recertification

    Event I62A21 · 10 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event I62A11 · 4 deficiencies

    Official 2567 ↗
  8. · Complaint

    Event 4DGP11 · 2 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event LBJ511 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event D89111 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event WQOQ11 · 2 deficiencies

    Official 2567 ↗
  12. · Recertification

    Event T3VZ11 · 2 deficiencies

    Official 2567 ↗

From CMS's QCOR ICF/IID statement-of-deficiency download, saved Oct 26, 2026. CMS notes that ICF/IID data after March 19, 2026 may be incomplete while its systems migrate. Plans of correction and state-only (licensing) deficiencies aren't in that file; the official 2567 documents on CalHealthFind have them.

Complaints and reported incidents

CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing deficiencies and ownership details.

Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.

Open this facility on CalHealthFind ↗How to file a complaint with CDPH

Change history

74 events, newest first

Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.

  1. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  2. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  3. ReportFederal survey (complaint): 1 deficiency(state record)

    See this survey →
  4. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  5. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  6. ReportFederal survey (recertification): 10 deficiencies(state record)

    See this survey →
  7. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →
  8. ReportFederal survey (complaint): 2 deficiencies(state record)

    See this survey →
  9. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  10. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →

Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.