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Complaint Investigation

Imperial Healthcare Center

Inspection Date: December 31, 2025
Total Violations 1
Facility ID 056115
Location LA MIRADA, CA
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Inspection Findings

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

1 returned from dialysis alert with confusion. During a review of Resident 1's Nursing Progress Note dated 8/24/2025 at 11:57 p.m., the progress note indicated Resident 1 was alert with episodes of confusion.

During a review of Resident 1's nursing progress notes from 8/20/2025 through 10/25/2025, the progress notes indicated there was no documented entries Resident 1's physician was notified of the resident's new onset of confusion. The progress notes indicated there was no documented entries a nursing assessment or monitoring was done addressing Resident 1's new onset of confusion. During an interview on 12/30/2025 at 4:39 p.m., with Resident 1's Attending Physician (AP 1), AP 1 stated he was aware Resident 1's baseline laboratory values were abnormal on 8/19/2025. AP 1 stated it was common for residents to have abnormal laboratory values at baseline. AP 1 stated when laboratory values or a resident's condition changed from baseline, the facility was expected to notify the physician. AP 1 stated Resident 1 was alert and oriented at baseline and new onset confusion represented a change of condition. AP 1 stated on 8/20/2025, he would have wanted to be notified of Resident 1's confusion. AP 1 stated if he had been notified of Resident 1's confusion he would have sent Resident 1 to the emergency room for evaluation immediately. During a concurrent interview and record review on 12/31/2025 at 10:00 a.m., with Registered Nurse (RN) 1, Resident 1's nursing progress notes dated 8/11/2025 and 8/20/2025, were reviewed.

Resident 1's nursing progress note dated 8/11/2025, indicated Resident 1 was alert and oriented upon admission to the facility. Resident 1's nursing progress note dated 8/20/2025 at 9:42 p.m., indicated Resident 1 was alert with confusion upon her return from dialysis. RN 1 stated this was a new onset of confusion for Resident 1 and represented a change of condition. RN 1 stated when a resident experienced

a change of condition, the resident should have been assessed, the physician should have been notified, and appropriate follow-up initiated in accordance with the facility's policy and procedure (P&P). RN 1 stated Resident 1's medical records did not indicate there was a documented nursing assessment, physician notification, a SBAR (Situation, Background, Assessment, and Recommendation), or 72-hour monitoring related to Resident 1's new onset of confusion. RN 1 stated Resident 1 was becoming less alert and less oriented, and this change of condition was not addressed with appropriate interventions which could lead to

the deterioration of Resident 1's condition. During a review of the facility's P&P titled, Change in a Resident's Condition or Status, revised 12/2016, the P&P indicated the nurse was required to notify the resident's attending physician of a significant change in the resident's physical, emotional, or mental condition, complete a comprehensive assessment, document the change in condition, and implement continuous monitoring for 72 hours or longer as indicated.

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📋 Inspection Summary

IMPERIAL HEALTHCARE CENTER in LA MIRADA, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LA MIRADA, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from IMPERIAL HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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