Avalon Villa Care Center
Inspection Findings
F-Tag F0698
F 0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review, the facility failed to ensure a Hemodialysis Emergency Kit (HD [E-kit], a kit containing essential supplies necessary to manage the dialysis line in case of emergency, like bleeding) was at the bedside of 1 of 4 sampled residents, Resident 1, who had a permacath (a special catheter used for short-term dialysis treatment) for HD treatment.This failure had the potential to cause delay in providing intervention should complication like excessive bleeding from hemodialysis access site occur which could be life-threatening and can result in hospitalization or death. Findings: During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was admitted to the facility on [DATE REDACTED] with diagnoses including end stage renal disease (ESRD, kidney failure ), cardiac pacemaker (an electronic device that is implanted in the body to monitor heart rate and rhythm) and muscle weakness.
During a review of Resident 1's Minimum Data Set (MDS- an assessment and care planning tool) dated 9/19/2025, the MDS indicated Resident 1 had clear speech, had difficulty communicating some words or finishing thoughts but was able, if prompted or given time. The MDS indicated Resident 1 required supervision or touching assistance with eating, oral hygiene and personal hygiene. During a Review of Resident 1's untitled and undated care plan, the care plan indicated Resident 1 has a permacath hemodialysis access on the right upper chest related to ESRD. The care plan goal indicated Resident 1 would have immediate intervention should any signs and symptoms of complications from dialysis occur.
The care plan interventions indicated to monitor right upper chest permacath site for signs/symptoms of infection such as drainage, redness, irritation, pain and swelling, dialysis E-kit at bedside in the event bleeding occur at the access site, apply pressure, call 911 and notify medical doctor. During a concurrent
observation and interview on 11/21/2025 at 12:05 p.m. with Licensed Vocational Nurse (LVN 1), LVN 1 was looking for Resident 1's Hemodialysis E-kit at the bedside but was unable to find it (E-kit). LVN 1 stated not having the hemodialysis E-kit at the resident's bedside can cause delay in providing life- saving measures
during an emergency. During a review of the facility's policy and procedures (P&P) titled Hemodialysis Access Care, dated 10/2010, the P&P indicated in case of an emergency, an emergency kit should be at
the bedside of a dialysis resident, that contains a clamp, tape, 4x4s (square-shaped pieces of fabric, each side measuring 4 inches) and kerlix (a white gauze dressing).
Residents Affected - Few
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
AVALON VILLA CARE CENTER in LOS ANGELES, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 AVALON VILLA CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.