Avalon Villa Care Center
AVALON VILLA CARE CENTER in LOS ANGELES, CA — inspection on December 23, 2025.
Found 3 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
During a review of the facility's Policy and Procedure (P&P) titled, Antipsychotic Medication Use, revised 7/2022, the P&P indicated, Residents and/or resident representatives will be informed of the recommendation, risks, benefits, purpose, and potential adverse consequences of antipsychotic medication use.
Residents and/or representatives may refuse medications of any kind.During a review of the facility's P&P titled, Psychotropic Medication Use, revised 7/2022, the P&P indicated, Residents, families, and/or the representative are involved in the medication management process.
Psychotropic medication management includes indications of use; dose (including duplicate therapy); duration; adequate monitoring for efficacy and adverse consequences; and preventing, identifying, and responding to adverse consequences.
The P&P indicated, Residents and/or representatives have the right to decline treatment with psychotropic medications.
The staff and physician will review the resident/representative the risks related to not taking the medication as well as appropriate alternatives.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Avalon Villa Care Center
12029 Avalon Blvd Los Angeles, CA 90061
SUMMARY STATEMENT OF DEFICIENCIES
During a review of Resident 2's Care Plan titled, Mood Disorder Manifested by Angry Outbursts, dated 6/17/2025, the Care Plan's indicated interventions were to monitor Resident 2's behavior episodes of mood disorder manifested by angry outbursts every shift and to document the frequency of the behavior.During a concurrent interview and record review on 12/23/2025 at 2:02 p.m., with Registered Nurse (RN) 2, Resident 2's Orders, dated 5/16/2025 through 12/23/2025, were reviewed.
The Orders indicated from 5/16/2025 through 10/14/2025, Resident 2 was monitored for behavior episodes manifested by angry outbursts every shift.
The Orders indicated to document the frequency of the behavior. RN 2 stated Resident 2's behavior monitoring was discontinued on 10/14/2025 and was never reordered. RN 2 stated the order prompted the licensed nurse to tally the frequency of behaviors every shift using the Behavior Monitoring Sheet. RN 2 stated monitoring and documenting Resident 2's behaviors allowed the healthcare team to determine the efficacy of Depakote and whether the medication dose had to be increased or decreased. RN 2 stated without proper monitoring, Resident 2 may experience more behaviors that are improperly managed.
During a review of the facility's Policy and Procedure (P&P) titled, Antipsychotic Medication Use, revised 7/2022, the P&P indicated, The staff will observe, document, and report to the attending physician information regarding the effectiveness of any interventions, including antipsychotic medications.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Avalon Villa Care Center
12029 Avalon Blvd Los Angeles, CA 90061
SUMMARY STATEMENT OF DEFICIENCIES
essential to allow the staff to safely move around the area to provide care.
The ADM stated limited space could result in the residents feeling anxious, agitated, and/or frustrated.During a review of the facility's Policy and Procedure (P&P) titled, Quality of Life- Accommodation of Needs, dated 8/2009, the P&P indicated, The resident's individual needs and preferences shall be accommodated to the extent possible, except when the health and safety of the individual or other residents would be endangered.
The P&P indicated, In order to accommodate individual needs and preferences, adaptations may be made to the physical environment, including the resident's bedrooms and bathrooms, as well as the common areas in the facility.
Facility ID: