Stoney Point Healthcare Center
STONEY POINT HEALTHCARE CENTER in CHATSWORTH, CA — inspection on September 5, 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 concurrent interview and record review on 9/5/2025 at 4:07 p.m., with the Director of Nursing (DON), Resident 1's Progress Note dated 8/30/2025 timed at 9:58 a.m. was reviewed.
The DON stated that there was no documented evidence found in Resident 1's medical records indicating that oxygen flow rates (refers to the volume of supplemental oxygen delivered to a patient, measured in LPM) were increased to address Resident 1's oxygen saturation level of 80% on 8/30/2025 at 9:20 a.m., or that high concentration oxygen tank was administered using a non-rebreather mask (a single-use medical device that delivers a high concentration of oxygen to a patient with moderate to severe shortness of breath, with a typical oxygen flow rate of 10 to 15 LPM) prior to the arrival of paramedics.
During a phone interview on 9/8/2025 at 10:12 a.m., with Registered Nurse 1 (RN 1), RN 1 stated that on 8/30/2025 at 9:20 a.m. Resident 1 was receiving oxygen at five (5) LPM via NC until paramedics arrived. RN 1 further stated that Resident 1 was not administered high concentration supplemental oxygen via a non-rebreather mask prior to the paramedics' arrival.
During a review of Resident 1's Paramedics Patient Care Report dated 8/30/2025, the Paramedics Patient Care Report indicated that on 8/30/2025 the paramedics arrived on scene (at the facility) at 9:42 a.m. and found Resident 1 with an oxygen saturation level of 83% on four (4) LPM via nasal cannula, heart rate of 122 beats per minute and respiratory rate of 41 breaths per minute.
The Paramedics Patient Care Report indicated that when facility staff (staff not indicated) was asked why Resident 1 wasn't placed on oxygen therapy no answer was given.
The Paramedics Patient Care Report indicated Resident 1 was then placed on oxygen at 15 LPM via non-rebreather mask and given fluids for hypotension (low blood pressure).
During a review of the facility's policy and procedure titled, Oxygen Administration, last reviewed on 1/21/2025, the P&P indicated, The purpose of the procedure is to provide guidelines for safe oxygen administration.
Adjust the oxygen delivery device so that it is comfortable for the resident and the proper flow of oxygen is being administered.
Documentation: After completing the oxygen setup or adjustment, the following information should be recorded in the resident's medical record.
The rate of oxygen flow, route, and rationale.
All assessment data obtained before, during, and after the procedure.
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