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Infinity Care East LA: POLST Translation Failure - CA
The form was a POLST, a Physician Orders for Life-Sustaining Treatment....
Latest reports, citations, and penalties from CMS data
The form was a POLST, a Physician Orders for Life-Sustaining Treatment....
Inspectors determined the facility fell short of those commitments for at least a few residents....
On the morning of October 30, 2025, three aides were working a unit that included eight residents who required a mechanical lift just to get out of bed....
A CNA identified in inspection records as CNA L had just finished rounds when a coworker yelled for her to come to a shared room....
The resident, identified in inspection records only as Resident R3, raised the issue directly when an inspector sat down with him or her on September 30....
Nobody at the facility knew any of this until the daughter returned that evening and handed a bottle of medication to the nurse at the station....
Resident R9 had asked for a blanket....
The resident who first raised the alarm had intact cognition and knew exactly what he was seeing....
The resident at the center of the citation, identified in inspection records only as R2, was a patient whose tracheostomy tube required active management....
The complaint inspection, completed November 22, identified the violation as carrying potential for actual harm, affecting a small number of residents....
Federal inspectors cited the facility for causing actual harm to the resident, identified in inspection records only as R1....
The November 2025 inspection, triggered by a complaint, turned up medication gaps affecting multiple residents....
The incident happened on October 8, 2025, around 1:30 in the afternoon at Reformed Presbyterian Home on Perrysville Avenue in Pittsburgh....
That is the core of what federal inspectors documented at Horsham Center for Jewish Life following a complaint inspection completed November 24, 2025....
That was the core finding when inspectors arrived at the facility at 625 36th Street SW on November 21, 2025....
The missing narcotics came to light in a sequence that a licensed practical nurse described in detail to inspectors on November 21, 2025....
It said staff should use three-compartment trays, serve his diet as ordered, and give him his supplements....
That is what inspectors found at Evercare at Stearns after a complaint investigation completed in November 2025....
The inspection, conducted following a complaint, centered on a single resident with a urinary catheter....
The facility is disputing the citation....