Griffith Park Healthcare Center
GRIFFITH PARK HEALTHCARE CENTER in GLENDALE, CA — inspection on August 25, 2025.
Found 3 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
bedside.
The DON stated the facility did not have any documentation of any type of assessment for Resident 1 regarding self-administering medications.
The DON stated having the supplements by Resident 1's bedside and Resident 1 verbalizing she takes it herself had the potential to cause an overdose of the supplements that could affect her health. A review of the facility's policy and procedure (P&P) titled, Self-Administration of Medications, revised 12/2016, indicated a) Residents had the right to self-administer medications if the interdisciplinary team determined that it was clinically appropriate and safe for the resident to do so, b)as part of the overall evaluation, the staff and practitioner would assess each resident mental and physical abilities whether self-administering medications was clinically appropriate for the resident, c)the staff and practitioner would document their findings who are identified being able to self-administer medications, and d) nursing staff would review the self -administered medication recorded on each nursing shift and transfer pertinent information to the medication administration record (MAR) kept at the nursing station, appropriately noting that the doses were self-administered.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Griffith Park Healthcare Center
201 Allen Ave.
Glendale, CA 91201
SUMMARY STATEMENT OF DEFICIENCIES
intervals designated by OBRA (federal standards for nursing home care to protect residents' rights, safety, and quality of life) requirement, b) OBRA required assessments - conducted for all residents in the facility includes; Initial assessment (Comprehensive) - conducted within fourteen (14) days of the resident's admission to the facility, the result of the assessments were used to develop, review and revise the resident's comprehensive care plan.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Griffith Park Healthcare Center
201 Allen Ave.
Glendale, CA 91201
SUMMARY STATEMENT OF DEFICIENCIES
During a review of Resident 's History and Physical (H&P) dated 8/11/2025, the H&P indicated Resident 1 had the capacity to understand and make decisions.
During a review of Resident 1's Minimum Data Set (MDS, a resident assessment tool), initiated 8/15/2025, the MDS indicated a completion date of 8/25/2025.
The MDS indicated Resident 1 required partial/moderate assistance (helper does less than half the effort) with toileting, and personal hygiene.
The MDS indicated Resident 1 was frequently incontinent of urine and had occasional incontinence of bowel.
During a review of Resident 1's Braden's Scale for Predicting Pressure Risk, dated 8/8/2025, the document indicated Resident 1 had a high risk for pressure injury.
During a review of Resident 1's care plan for Actual Impairment to Skin Integrity of the buttocks extending to the groin area related to MASD dated 8/8/2025, the care plan interventions indicated to monitor/document location, size and treatment of skin injury, report abnormalities, failure to heal, signs of infection etc. and report to the doctor.
During a concurrent interview and record review on 8/25/2025 at 10:30 AM, with the Director of Nurses (DON), Resident 1's electronic health record (EHR) dated from admission 8/8/2025 to present 8/25/2025 was reviewed.
The record indicated Resident 1 had MASD upon admission but did not have a weekly skin assessment completed per policy.
The DON stated Resident 1 did not have a weekly skin assessment for her MASD, that included location, size and if treatment was effective.
The DON stated not having a weekly skin assessment of Resident 1's MASD had the potential for further skin breakdown.
During an interview on 8/25/2025 at 2 PM with Treatment Nurse (TN) 1, TN 1 stated Resident 1 had MASD upon admission on [DATE], and there was no weekly assessment because it was missed. TN 1 stated it was very important to have a weekly assessment of Resident 1's MASD, due to the resident's occasional refusal of diaper change. TN 1 stated the weekly skin assessment would determine if the current treatment was working or not, and if the MD needed to be notified. A review of the facility's policy and procedure (P&P) titled, Prevention of Pressure Injuries, revised 4/2020, indicated the purpose was to provide information regarding identification of pressure injury factors and interventions to specific risk factors and to assess the resident on admission for existing pressure injury risk factors and repeat risk assessment weekly.
The P&P indicated to evaluate, report and document potential changes in the skin, and to review the interventions and strategies for effectiveness on and ongoing basis.
Facility ID: