Ararat Post Acute
ARARAT POST ACUTE in GLENDALE, CA — inspection on November 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 an interview on 11/05/2025 at 2:45 PM, RN 1 stated that she completed an elopement risk assessment for Resident 1 upon admission. RN 1 stated that all staff, including nurses and activity staff, were informed about Resident 1's high risk for elopement. RN 1 stated that on 10/28/2025, at around 5:00 PM, while making resident rounds prior to her 30-minute meal break, she observed Resident 1 with AS 1 in the Activity Room. RN 1 stated that she was on her meal break and was not aware of the time AS 1 ended her shift. RN 1 stated AS 1 did not inform her that Resident 1 needed someone to supervise Resident 1 in the Activity Room prior to leaving the facility at end of her (AS 1) shift, on 10/28/2025. RN 1 stated that upon returning from her break at approximately 5:35 PM, RN 1 stated she was notified by LVN 1 that Resident 1 was missing.
During a telephone interview on 11/06/2025 at 2:10 PM, RP 1 stated that she received a call from the facility on 10/28/2025 at around 5:30 PM, informing her that Resident 1 was missing from the facility. RP 1 stated that she and other family members immediately took their car out to search for Resident 1. RP 1 stated that they found Resident 1 while driving toward the facility. Resident 1 was sitting at a bus stop near a busy street intersection, 0.4 miles away from the facility. RP 1 stated Resident 1 appeared to be sweating heavily from walking. RP 1 stated that Resident 1 looked lost and was surprised to see her and the other family members. Resident 1 did not respond when asked why he was there.
During an interview on 11/05/2025 at 3:50 PM with the Administrator (ADM) and Director of Nursing (DON), the DON stated that the supervision and safety of residents is very important, and that staff communication should be thorough at all times.
The ADM stated that AS 1 should not have assumed that any dietary or non-clinical staff present would be responsible for monitoring or supervising a resident.
The ADM further stated that AS 1 should have remained with Resident 1 until relieved by a clinical staff member.
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