Sunset Manor Conv Hosp
SUNSET MANOR CONV HOSP in EL MONTE, CA — inspection on January 3, 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 1's History and Physical (H&P, a formal and complete assessment of the resident by a physician) dated 9/17/2024, the H&P indicated Resident 1 was non-verbal and did not have the capacity to make medical decisions.
During a review of Resident 1's Minimum Data Set (MDS, a resident assessment tool) dated 12/3/2024, the MDS indicated Resident 1 had unclear speech and severely impaired cognition (thinking, reasoning, or remembering for daily decision making).
The MDS indicated Resident 1 was dependent (helper does all the effort, resident does none of the effort to complete the activity) for toileting, showering, dressing and chair/bed-to-chair transfers.
During an observation of Resident 1's right palm, in Resident 1's room and concurrent interview with Licensed Vocational Nurse 1 (LVN 1) on 1/3/2025 at 11:29 am, Resident 1's right palm had seven stitches between the thumb and the index finger. LVN 1 stated, Resident 1 was sent to GACH 1 on 12/17/2024 due to a cut to the right hand from Resident 1's bed remote control coil line. LVN 1 stated, the outer hard plastic layer of Resident 1's bed remote control coil line was broken, and part of the coil was pointing out. LVN 1 stated, when CNA 2 turned and repositioned Resident 1, Resident 1 grabbed onto the sharp broken part (plastic) of the bed remote control coil line, and Resident 1 sustained a laceration of Resident 1's right hand/palm. LVN 1 stated, staff (in general) need to ensure Resident 1's equipment was in good condition to prevent injury to Resident 1. LVN 1 stated, maintenance staff need to routinely check all devices and equipment to ensure the equipment and devices were in good condition and working properly for resident's safety.
055104
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 055104 B.
Wing 01/03/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Sunset Manor Conv Hosp 2720 Nevada Avenue El Monte, CA 91733
During a review of Resident 1's Progress Notes (PN), dated 12/17/2024, timed at 5 am, the PN indicated Resident 1 sustained an inner right-hand cut (laceration) when Resident 1 held onto the right bed side rail while being cleaned and turned by CNA 2.
During a review of Resident 1's PN, dated 12/17/2024, timed at 5:46 am, the PN indicated Resident 1 had an open cut/wound on the inner right hand.
The PN indicated Resident 1's right hand wound was acquired in the facility and measured 2 cm in length by 0.2 cm in width and 0.2 cm in depth.
During a review of Resident 1's Physician's Order (PO) dated 12/17/2024 (untimed), the PO indicated to transfer Resident 1 to GACH 1 due to right hand cut.
During a review of Resident 1's PN dated 12/17/2024, timed at 10:45 am, the PN indicated Resident 1 was transferred to GACH 1 due to a cut on the right hand.
During a review of GACH 1's Emergency Department Note (EDN) dated 12/17/2024, the EDN indicated Resident 1 had a right-hand laceration and received laceration repair.
The EDN indicated Resident 1's right hand laceration was closed with seven stitches.
During a review of Resident 1's PN dated 12/17/2024, timed at 6:20 pm, the PN indicated Resident 1 was readmitted back to the facility from GACH 1 after treatment of Resident 1's laceration to the right palm (the grasping side of the hand) of the hand.
The PN indicated Resident 1 had six stitches along the right thumb with ragged edges and one stitch on the base of the index finger with skin tear.
During an observation of Resident 1's right hand in Resident 1's room on 1/3/2025 at 11:24 am, Resident 1 was lying in bed with eyes closed. Resident 1's right hand was wrapped with dry bandage roll (a long, rolled-up piece of absorbent material used to cover wounds, apply pressure, and secure dressings).
055104
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 055104 B.
Wing 01/03/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Sunset Manor Conv Hosp 2720 Nevada Avenue El Monte, CA 91733