Santa Fe Heights Healthcare Center, Llc
SANTA FE HEIGHTS HEALTHCARE CENTER, LLC in COMPTON, CA — inspection on February 13, 2025.
Found 2 citations. 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 3's Admission Record, the Admission Record indicated Resident 3 was originally admitted to the facility on [DATE] and readmitted on [DATE]. Resident 3's diagnoses included dysphagia (difficulty swallowing), schizoaffective disorder (a mental illness that can affect thoughts, mood, and behavior), and adult failure to thrive (a decline caused by chronic diseases and functional impairments which can cause weight loss, decreased appetite, poor nutrition, and inactivity).
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
555732
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 555732 B.
Wing 02/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Santa Fe Heights Healthcare Center, LLC 2309 N Santa Fe Ave Compton, CA 90222
During a review of Resident 10's Minimum Data Set ([MDS], a resident assessment tool), dated 4/28/2024, the MDS indicated Resident 10's cognitive skills (ability to think and reason) for daily decision making were severely impaired.
The MDS indicated Resident 10 required set up or clean up assistance (helper sets up or cleans up) for eating, toileting, oral hygiene, and dressing, and when performing personal hygiene.
During a review of Resident 10's Seizure Care Plan, dated 9/20/2024, the care interventions indicated the facility was to monitor and report any subtherapeutic (a drug level too low to produce the intended medical effect) or toxic (poisonous or harmful to the body) results to the physician.
During a review of Resident 10's SBAR (situation, background, assessment, recommendation-a communication tool used by healthcare workers when there is a change of condition among the residents) Note, dated 2/11/2025, the SBAR Note indicated on 2/11/2025, Resident 10 exhibited a seizure in his room.
The SBAR Note indicated Resident 10 exhibited stiff jerking movements and was difficult to arouse.
The SBAR Note indicated seizure precautions were initiated, and oxygen was applied via a non-rebreather mask (a device that delivers oxygen to patients who need more than what they can get on their own) with 15 liters ([L]- a unit of measurement) per minute of oxygen.
The SBAR Note indicated 911 was called.
The SBAR Note indicated Resident 10 suffered two seizures, two minutes apart, the first seizure lasted for three minutes and the second seizure lasted two minutes.
During a review of Resident 10's Order Summary, dated 2/13/2025, the Order Summary indicated Resident 10 was ordered phenobarbital tablet 32.4 milligrams ([mg]- a unit of measurement) one tablet three times a day related to epilepsy.
The Order Summary also indicated Resident 10 was to have his phenobarbital level drawn every three months.
555732
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 555732 B.
Wing 02/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Santa Fe Heights Healthcare Center, LLC 2309 N Santa Fe Ave Compton, CA 90222