Chatsworth Park Health Care Center
CHATSWORTH PARK HEALTH CARE CENTER in CHATSWORTH, CA — inspection on April 24, 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 Resident 57's History and Physical (H&P), dated 4/24/2025, the H&P indicated the resident is a poor historian (a person who has difficulty recalling, organizing, or providing a clear and complete account of their medical history).
During a review of Resident 57's Minimum Data Set (MDS, a standardized assessment and care screening tool), dated 4/10/2025, the MDS indicated Resident 57 is rarely/never understood and was dependent on staff for activities such as eating, toileting, dressing, bathing and personal hygiene.
The MDS indicated Resident 57 was on a high-risk drug class medication antibiotic through an IV.
During a review of Resident 57's Order Summary Report, the Order Summary Report indicated an order for:
-4/22/2025 Vancomycin (antibiotic) HCL intravenous solution.
Use 750 mg (milligram - a unit of measurement) every 12 hours.
During an observation on 4/21/2025 9:55 am in Resident 57's room, Resident 57 was lying in bed with IV medication bag and tubing attached to her left arm.
The IV medication bag label indicated the medication was Vancomycin dated 4/18/2025 and started on 4/21/2025 at 8:30 am.
The label indicated to infuse (deliver directly into bloodstream) 270 ml (milliliters - a form of measurement) over 2 hours (135 ml/hr. [hour]) every 12 hours until 5/8/2025.
The tubing for the Vancomycin had a flow regulator (manually [not by an electronic IV pump] regulates fluid flow through an IV to maintain a constant flow rate by turning the dial to the prescribed rate) and it was manually set at 200 ml/hr.
The IV bag label indicated the prescriber of Vancomycin was Resident 57's primary physician.
056351
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 056351 B.
Wing 04/24/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Chatsworth Park Health Care Center 10610 Owensmouth Chatsworth, CA 91311
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.