Kei-Ai Los Angeles: Activity Program Failures - CA
Federal inspectors found the facility failed to provide consistent activities for three residents during a January inspection, leaving them isolated in their rooms without proper programming or updated care plans designed to meet their individual needs.
The violations centered on the facility's systematic failure to develop and maintain activity programs for residents with varying levels of cognitive impairment and physical limitations.
Resident 530 lay in bed awake when inspectors visited her room at 1:30 PM on January 6. She told them she was unable to get up out of bed and preferred to stay in her room, though she would prefer to do group activities if she could. She said she preferred to watch television or listen to music, and although she liked TV, "it could get boring and would like to sometimes listen to music."
She had mentioned wanting to listen to music to facility staff, but no one had updated her on the request.
The Activities Director told inspectors on January 8 that residents' activity preferences were supposed to be added to care plans and updated when there were changes. The director said it was important for care plans to reflect residents' current interests.
But Resident 44's situation revealed more serious gaps. During a record review on January 9, the Activities Director confirmed Resident 44 did not have an activity care plan despite living at the facility for nearly four years. The director said it was important residents had activity care plans so staff were familiar with their preferences and so residents did not become isolated.
Her assessment from March 2024 indicated she enjoyed turning on television or music, Christian services once a week, and bingo games at bedside. The assessment noted her desired outcome from activities was "pleasure and comfort."
The Director of Nursing confirmed Resident 44 lacked an activity care plan and said it was important all residents have them because care plans enabled staff to determine what activities residents liked to do.
Resident 197 presented a different challenge. Admitted with hemiplegia, hemiparesis, dementia and muscle weakness, she had mild cognitive impairment and was moderately dependent with basic daily activities. Her October assessment indicated it was "very important" for her to perform favorite activities, and she enjoyed reading magazines and books.
Her care plan from October indicated she enjoyed social and recreational involvement with minimal participation levels, with interventions to accommodate changes in her abilities and condition.
When inspectors observed her room on January 6 at 11:45 AM, Resident 197 was lying in bed awake with the television on. She was able to make her needs known but otherwise appeared confused. A nursing assistant said she liked to sit up in a chair and color or do activities with the activity aide.
The facility's own policies required individualized activity care plans that reflected residents' comprehensive assessments and individual needs. The November 2023 policy stated activity evaluations should develop individual care plans allowing residents to participate in activities of their choice and interest.
Another policy from the same month required the Activities Director to ensure activity goals and approaches were reflected in residents' care plans and individualized to match each resident's skills, abilities and preferences.
But the implementation fell short. Resident 530's care plan from December simply stated staff should "determine resident's activity of choice and encourage resident to engage in individual and group activity" without specifics about her expressed interest in music.
The facility also failed to maintain current care plans for other residents. Resident 173's care plan for "alteration in comfort" had not been updated since May 18, 2024, despite facility policy requiring quarterly reviews.
A Licensed Vocational Nurse told inspectors that without updated care plans, it would be difficult to see if the facility's interventions were effective or if residents were making progress toward goals. The nurse said care plans should be updated for any change in condition and the facility should check monthly on their effectiveness.
A Registered Nursing Supervisor acknowledged Resident 173's care plan was not updated and said it should have been reviewed during weekly summaries. Without updates, she said, it would be difficult to tell if the resident was making progress, and if there was no progress, the facility should have revised the plan.
The Director of Nursing confirmed care plans were supposed to be updated quarterly and for any change in residents' conditions. She acknowledged it would be difficult to see if residents were making progress without updated care plans.
A Restorative Nursing Aide who had worked at the facility for four years said residents could develop mobility and comfort problems without proper activities and range of motion exercises.
The inspection found residents with different needs and capabilities all experiencing similar isolation. Resident 44 had severe cognitive impairment and was dependent on staff for personal care, oral hygiene and eating. Resident 530 had no cognitive impairment but was moderately dependent with mobility and daily activities. Resident 197 had mild cognitive impairment but enjoyed reading and social activities.
Despite their different conditions and expressed preferences, all three spent their days in their rooms watching television, without individualized programming to address their specific interests or needs.
The facility's policy stated it would review clinical issues and upcoming review dates, and complete assessments during initial, quarterly and annual periods as well as during significant changes in condition. But the practice documented by inspectors showed residents going months without updated plans or consistent activity programming.
Resident 530 remained in bed, asking for music that never came. Resident 44 continued watching television instead of the bingo and church services she preferred. Resident 197 lay in bed with the TV on rather than reading the magazines and books she enjoyed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Kei-ai Los Angeles Healthcare Center from 2025-01-10 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
KEI-AI LOS ANGELES HEALTHCARE CENTER in LOS ANGELES, CA was cited for violations during a health inspection on January 10, 2025.
Resident 530 lay in bed awake when inspectors visited her room at 1:30 PM on January 6.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.