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Complaint Investigation

Alvarado Care Center

June 26, 2024 · Los Angeles, CA · 1154 S.alvarado St
Citations 2
CMS Rating 1/5
Beds 72
Provider ID 056157
Healthcare Facility
Alvarado Care Center
Los Angeles, CA  ·  View full profile →
Inspection Summary

ALVARADO CARE CENTER in LOS ANGELES, CA — inspection on June 26, 2024.

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.

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Inspection Findings

FF584
Minimal harm or that block airflow and make it difficult to breathe), unspecified dementia (loss of cognitive Few with psychotic symptoms (a collection of symptoms, including delusions [false beliefs, for example, that affected

During an interview with Resident 6 on 6/26/2024 at 10:49 a.m., Resident 6 stated, her previous roommate (Resident 1) would be awake in the middle of the night. Resident 6 stated, Resident 1 would watch TV or listen to music loudly after 9 p.m., which caused her to stay awake and unable to sleep at night. Resident 6 further stated, Resident 1 would open the sliding door in their room to the patio and she would smell smoke in her room. Resident 1 stated, she told the staff and she talked to the Social Services Director about Resident 1 and they are aware of the situation.

During an interview with Resident 5 on 6/26/2024 at 10:58 a.m., Resident 5 stated, Resident 1, her previous roommate plays music and watches TV loudly until late at night, she (Resident 1) also is awake until 11 p.m., 1 a.m. and sometimes at 3 a.m. and would have other people come in their room through their patio sliding door. Resident 5 further stated, she talked to the SSD multiple times about the incident as her office was just right in front of her room.

Observed SSD ' s office in front of Resident 5 and 6 ' s room.

During an interview with Licensed Vocational Nurse (LVN) 1, on 6/26/2024 at 12:56 p.m., LVN1 stated, Resident 1 uses the sliding door to the smoking patio even at night and goes to the patio herself. LVN1 stated, Resident 5 and 6 complained about Resident 1 because she would play music and watches TV late at night. LVN 1 stated, he knows that SSD talks to Resident 5 and 6 about their concerns.

During an interview with Certified Nursing Assistant (CNA) 2, on 6/26/2024 at 12:56 p.m., CNA2 stated, Resident 1 was indeed, goes to the smoking patio through their sliding door inside their room. CNA2 stated, Resident 5 and 6 would complain to him regarding Resident 1 as she would be up all night and would play music. CNA2 further stated, Resident 5 and 6 also complained of the smell of smoke in their room.

056157

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 056157 B.

Wing 06/26/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Alvarado Care Center 1154 S.Alvarado St Los Angeles, CA 90006

During an interview with Resident 6 on 6/26/2024 at 10:49 a.m., Resident 6 stated, her previous roommate (Resident 1) would be awake in the middle of the night. Resident 6 stated, Resident 1 would watch TV or listen to music loudly after 9 p.m., which caused her to stay awake and unable to sleep at night. Resident 6 further stated, Resident 1 would open the sliding door in their room to the patio and she would smell smoke in her room. Resident 1 stated, she told the staff and she talked to the Social Services Director about Resident 1 and they are aware of the situation.

During an interview with Resident 5 on 6/26/2024 at 10:58 a.m., Resident 5 stated, Resident 1, her previous roommate plays music and watches TV loudly until late at night, she (Resident 1) also is awake until 11 p.m., 1 a.m. and sometimes at 3 a.m. and would have other people come in their room through their patio sliding door. Resident 5 further stated, she talked to the SSD multiple times about the incident as her office was just right in front of her room.

Observed SSD ' s office in front of Resident 5 and 6 ' s room.

During an interview with Licensed Vocational Nurse 1 (LVN1) on 6/26/2024 at 12:56 p.m., LVN1 stated, Resident 1 uses the sliding door to the smoking patio even at night and goes to the patio herself. LVN1 stated, Resident 5 and 6 complained about Resident 1 because she would play music and watches TV late at night. LVN 1 stated, he knows that SSD talks to Resident 5 and 6 about their concerns.

During an interview with Certified Nursing Assistant 2 (CNA2) on 6/26/2024 at 12:56 p.m., CNA2 stated, Resident 1 was indeed, goes to the smoking patio through their sliding door inside their room. CNA2 stated, Resident 5 and 6 would complain to him regarding Resident 1 as she would be up all night and would play music. CNA2 further stated, Resident 5 and 6 also complained of the smell of smoke in their room.

During an interview Registered Nurse 2 (RN 2) on 6/26/2024 at 3:27 p.m., RN 2 stated and confirmed, Resident 1 would play music and watches TV loudly late at night. RN 2 stated, she spoke with Resident 1 regarding her music and TV playing at night because it causes other residents to be unable to sleep. RN 2 stated, Resident 5 and 6 complained about Resident 1 in multiple occasions and she mentioned it to SSD.

During an interview with SSD on 6/26/2024 at 6:00 p.m., SSD stated, she was aware of Resident 1 ' s being loud at night and Resident 5 and 6 complained about Resident 1 because they were roommate.

When asked if there were any care plan developed regarding Resident 5 and 6 ' s complained about Resident 1, SSD was unable to answer.

A review of Resident 5 and Resident ' s care plan (CP), as of 6/26/2024 indicated, there was no CP developed regarding Resident 5 and 6 inabilities to sleep due to Resident 1 ' s noise and there was no CP developed regarding Resident 1 ' s noise.

056157

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 056157 B.

Wing 06/26/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Alvarado Care Center 1154 S.Alvarado St Los Angeles, CA 90006

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 LOS ANGELES, 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 ALVARADO CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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