Huntington Park Nursing Center

During a review of Resident 4's admission Record, the admission Record indicated Resident 4 was admitted to the facility on [DATE]. Resident 4's diagnoses included diabetes mellitus (DM-a disorder characterized by difficulty in blood sugar control and poor wound healing) hypertension (HTN-high blood pressure) and congestive heart failure (CHF-a heart disorder which causes the heart to not pump the blood efficiently, sometimes resulting in leg swelling).

During a review of Resident 4's History and Physical (H&P) dated 1/10/2026, the H&P indicated Resident 4 had the capacity to understand and make decisions.

During a review of Residents 4's Minimum Data Set (MDS - a resident assessment tool) dated 1/21/2026, the MDS indicated Resident 4 had intact cognition. Resident 4 required depending on assistance with activities of daily living (ADLs) such as dressing, toilet use, personal hygiene, transfer and mobility.

During a review of Resident 4's care plan titled, Potential for skin breakdown / pressure ulcer development related to thin fragile skin, dated 8/17/2025, the interventions indicated to do daily body checks, monitor/ document/ report to the doctor when needed, for any changes in skin status, appearance, color, size and notify the nurse of a new area of skin breakdown, like redness, blisters, bruises or discolorations noted during bath or daily care.

During an interview on 2/24/2026 at 1:54 p.m. with Licensed Vocational Nurse (LVN) 1, LVN 1 she was not informed about Resident 4's bruises (an injury appearing as an area of discolored skin on the body, caused by a blow or impact rupturing underlying blood vessels) on the arm and the physician was not notified about the bruise. LVN 1 stated the bruise should have been assessed for dimensions, redness, or hardness, determine if the resident was on blood thinner medications and identify the cause of the bruise.

During a review of facility Policy and Procedures (P&P) titled, Skin and Wound Monitoring and Management, dated 4/2025, the P&P indicated the licensed nurse must assess/evaluate a resident's skin at least weekly and document in the nursing notes, all areas of breakdown, excoriation, or discoloration, or other unusual findings.

The CNA should observe resident skin and identify any areas of skin breakdowns, discolorations, tears or redness and communicate the findings to the licensed nurse verbally.

The Licensed nurses should acknowledge findings, document pertinent information on resident's clinical records and response/ obtain and implement treatment order as appropriate.

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