California Post Acute
CALIFORNIA POST ACUTE in LOS ANGELES, CA — inspection on August 1, 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.
Inspection Findings
During a review of Resident 1's Minimum Data Set (MDS - a standardized assessment and care screening tool) indicated Resident 1 has adequate vision and does not wear corrective lenses.
During concurrent interview and record review on 8/1/2024 at 11:22 a.m. with the Minimum Data Set Nurse (MDSN), the MDSN reviewed Resident 1's MDS, diagnoses, and care plan and confirmed Resident 1 had a diagnosis of glaucoma.
The MDSN confirmed the MDS and care plan did not address the diagnosis.
The MDSN stated the risk to the resident is injury, resident cannot reach call light, weight loss due to not seeing food.
During a record review of the facility's policy and procedures titled, Care Plans, Comprehensive Person-Centered, dated 2024, indicated, The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment.
Care plan interventions are chosen only after careful data gathering, proper sequencing of events, careful consideration of the relationship between the resident ' s problem areas and their causes, and relevant clinical decision making.
055461
During a review of Resident 1's Minimum Data Set (MDS - a standardized assessment and care screening tool) indicated Resident 1 had adequate vision and did not wear corrective lenses.
During concurrent interview and record review on 8/1/2024 at 11:22 a.m. with the Minimum Data Set Nurse (MDSN), the MDSN reviewed Resident 1 ' s MDS, diagnoses, and care plan and confirmed Resident 1 had a diagnosis of glaucoma.
TheMDSN confirmed the resident's MDS and care plan did not address the diagnosis.
The MDSN stated the resident was at risk for injury and weight loss due to not seeing food, and would not reach the call light.
During a record review of the facility's policy and procedures (P&P) titled, Comprehensive Assessments, dated 2024, the P&P indicated, Define issues, including problems, risk factors, and other concerns (to which all disciplines can relate). (1)
Determine Care Area Assessments (CAAs - foundation upon which a resident ' s individual care plan is formulated) that have been triggered during completion of the MDS; and (2) Expanding on the triggered CAAs and the data gathered in Step 1, begin to define problems and symptoms within the context of the overall clinical picture.
During a record review of the facility's P&P titled, Comprehensive Assessments, dated 2024, the P&P indicated, Comprehensive assessments are conducted and coordinated by a registered nurse with appropriate participation of other health professionals.
055461
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 055461 B.
Wing 08/01/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
California Post Acute 909 S Lake Street Los Angeles, CA 90006