Alexandria Care Center
ALEXANDRIA CARE CENTER in LOS ANGELES, CA — inspection on February 25, 2026.
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
making notification of above, the Facility must ensure that all pertinent information is available and
056113 02/25/2026
Alexandria Care Center 1515 N Alexandria Ave.
Los Angeles, CA 90027
During a review of Resident 1's History and Physical dated 1/12/26, it indicated Resident 1's cognitive functioning was intact (the ability to think, learn, remember, use judgment, and make decisions).During a concurrent interview and record review on 2/26/2026 at 2 p.m. with the Director of Nursing (DON), Resident 1's Care Plans were reviewed.
The DON stated the facility staff failed to initiate and implement a Care Plan for Resident 1 to address that Resident 1 had a diagnosis and a history of other venous thrombosis and embolism.
The DON stated it was the responsibility of licensed staff or the MDS Coordinator to initiate the Care Plan when Resident 1 was admitted to the facility.
The DON stated Resident 1's Care Plan should have addressed that Resident 1 had a diagnosis of DVT and was at risk of developing DVT.
The DON stated the Care Plan was a guide to implement the necessary interventions for Resident 1.
The DON stated the failure to develop a comprehensive Care Plan that addressed Resident 1's DVT status placed Resident 1 at risk of developing DVT which had the potential to lead to blood clot and other complications such as death.
During a review of the facility-provided policy and procedure (P&P) titled, Care plans, Comprehensive Person-Centered, last revised on 1/14/2025, the P&P indicated, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's medical, physical and Mental psychosocial needs shall be developed for each resident . 4.
The care plan interventions are designed after careful consideration of the relationship between the resident's problem area(s) rather than addressing only symptoms or triggers.2.
The comprehensive, person-centered care plan: .b. describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being e. reflects currently recognized standards of practice for problem areas and conditions.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.