Hyde Park Healthcare: Late Medication Violations - CA
Federal inspectors found Hyde Park Healthcare Center systematically failed to give medications on time to at least one resident over a two-week period in late August and early September. The facility's own policy requires medications be given within 60 minutes of their scheduled time.
Resident 1 needed seven different medications throughout each day. Inspectors tracked when each dose was actually given versus when it was supposed to be administered. The pattern was consistent lateness.
His Keppra, an anti-seizure medication scheduled for 7 a.m. on August 28, wasn't given until 11:21 a.m. The next day, the same morning dose arrived at 10:58 a.m. On September 1, it was delayed until 11:21 a.m.
The evening Keppra doses fared no better. On August 29, the 7 p.m. dose was given at 11:28 p.m. The next night, it arrived at 7:28 p.m.
Blood pressure medications faced similar delays. Clonidine scheduled for 7 a.m. on August 28 wasn't administered until 11:21 a.m. Hydralazine, another blood pressure drug, was given nearly three hours late that same morning.
The facility's Director of Nursing acknowledged the delays when shown the medication records. She explained the serious risks these late doses created for the resident.
"It was important to administer all of Resident 1's medications on time because, if not, the medications will not be effective," she told inspectors.
For the seizure medication specifically, timing was critical. The DON said it was "very important to administer the seizure medication on time to prevent additional seizures, which could lead to hospitalizations."
The blood pressure medications carried their own dangers when given late. The DON explained that medications scheduled more than twice daily "should be given as scheduled, because when given late and close to the next dose, could lead to double dosing causing the blood pressure to drop low and possibly lead to hospitalization."
Tamsulosin, prescribed for the resident's enlarged prostate, was consistently hours behind schedule. On August 28, the 9 a.m. dose wasn't given until 12:03 p.m. August 30 saw a similar delay, with the morning dose arriving at 12:01 p.m.
The pattern continued into September. On September 1, the 9 a.m. Tamsulosin was given at 11:21 a.m. September 6 brought a delay until 11:55 a.m. Two days later, the morning dose was administered at 11:10 a.m.
The DON told inspectors that late administration of the prostate medication "could lead to difficulty in urination and discomfort" for the resident.
Metformin, a diabetes medication, also arrived hours late. The August 30 evening dose scheduled for 5 p.m. wasn't given until 7:25 p.m. On September 1, the 7 a.m. dose was delayed until 11:21 a.m.
Even eye drops faced delays. Bimatoprost scheduled for 5 p.m. on August 30 wasn't administered until 7:26 p.m.
The facility's pharmaceutical services policy, dated March 2022, states medications "should be administered in accordance with good nursing principles and practices." It requires medications be given "in accordance with written orders of the attending physician" and "within 60 minutes of scheduled time."
The inspection found these policies weren't followed for Resident 1's care.
The DON's acknowledgment that the medications were "all given late" came after inspectors presented the facility's own medication administration records. These electronic records, called Administration Details Records, documented the exact times each dose was given compared to when it was scheduled.
For medications managing seizures, high blood pressure, and prostate issues, the delays weren't occasional oversights. They formed a pattern across multiple days and different shifts, suggesting systemic problems with medication administration at the facility.
The resident required consistent medication timing to manage serious health conditions. Instead, he received doses hours late, creating risks the facility's own nursing director acknowledged could lead to additional seizures, dangerous blood pressure drops, and hospitalizations.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hyde Park Healthcare Center from 2025-09-11 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
HYDE PARK HEALTHCARE CENTER in LOS ANGELES, CA was cited for violations during a health inspection on September 11, 2025.
The facility's own policy requires medications be given within 60 minutes of their scheduled time.
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.