Skyline Healthcare Center: Medical Record Failures - CA
The deficiency, cited under federal tag F0842, covered medical record accuracy and completeness. According to the inspection report, the lapse affected a small number of residents.
The facility's policy on completing and correcting medical records had been in place since 2012 and was reviewed as recently as April 2025, four months before the inspection. It committed the facility to records that were "complete, legible, descriptive and accurate." Among the specific requirements spelled out in that document: documentation each time a physician was reached by phone or seen in person about a resident's condition.
That requirement went unmet.
The gap matters more than it might appear on paper. When a nurse calls a doctor at 2 a.m. because a resident's blood pressure has spiked or a wound has changed, and that call goes unrecorded, the next clinician to review the chart has no way of knowing the conversation happened. They don't know what the doctor was told, what was ordered, or whether anything was ordered at all. The record looks like nothing happened, even if something did.
Inspectors rated the harm level as minimal or potential for actual harm, meaning no resident was documented as having been injured as a direct result of the incomplete records. The deficiency was filed as a complaint inspection, indicating the visit was triggered by a complaint rather than a routine survey cycle.
Skyline Healthcare Center is a nursing facility located at 3032 Rowena Ave in the Silverlake neighborhood of Los Angeles.
The inspection report does not describe how many physician contacts went undocumented, which residents were affected beyond characterizing the number as "few," or how long the documentation gaps had been occurring. It does not identify any specific medical decisions that were delayed or missed as a result.
What it does establish is that a policy the facility wrote, and reviewed and reaffirmed in April 2025, wasn't being carried out by August of the same year.
For families with relatives at Skyline, the finding raises a question that the inspection report doesn't answer: if a doctor was called about their family member, is there any record of it?
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Skyline Healthcare Center - La from 2025-08-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 3, 2026 · Our methodology
SKYLINE HEALTHCARE CENTER - LA in LOS ANGELES, CA was cited for violations during a health inspection on August 9, 2025.
The deficiency, cited under federal tag F0842, covered medical record accuracy and completeness.
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.