Artesia Palms Care Center
ARTESIA PALMS CARE CENTER in ARTESIA, CA — inspection on November 25, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a review of the facility's Certified Nurse Assistant (CNA) Job Description, the CNA Job Description indicated, Report all changes in the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practicable.
Report all accidents and incidents you observe on the shift they occur.
The facility was unable to provide a P/P indicating steps to take when a resident is found on the floor. b.
During an interview on 9/17/2025 at 8:11 a.m., LVN 3 stated a neurological check should be done following a resident's fall to monitor and assess for possible cognitive changes in the resident.
During a concurrent interview and record review on 9/17/2025 at 10:45 a.m., with the Medical Records Supervisor (MRS), the MRS provided Resident 1's Neurological Assessment, which indicated Resident 1's neurological assessment was not initiated after Resident 1's fall was reported to LVN 2 on 8/21/2025 at 5 p.m., and prior to Resident 1's transfer to the GACH on 8/22/2025.
During a concurrent interview on 9/17/2025 at 11:18 a.m., after reviewing Resident 1's Neurological Assessment, the ADON stated Resident 1's neurological status was not assessed after learning he had fallen, but it should have been done.
The ADON stated neurological checks were important because they identified abnormalities in the resident's cognitive function which could possibly lead to a stroke (occurs when blood flow to the brain is interrupted) or a bleed in the brain.
During an interview on 9/17/2025 at 2:24 p.m., the Director of Nursing (DON) stated a neurological assessment should be initiated after an unwitnessed fall or trauma to the head and one should have been initiated for Resident 1 after learning he had fallen.
During a review of the facility's P/P, titled, Neurological Assessment (Routine) dated 1/2025, the P/P indicated the purpose of this procedure is to provide guidelines for conducting a routine neurological assessment to evaluate the resident for small changes over time that may be indicative of neurological injury.
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