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Complaint Investigation

California Post Acute

August 1, 2024 · Los Angeles, CA · 909 S Lake Street
Citations 2
CMS Rating 2/5
Beds 66
Provider ID 055461
Healthcare Facility
California Post Acute
Los Angeles, CA  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF641
Minimal harm or had a diagnosis of glaucoma, and thta the resident's MDS and care plan did not address the resident's Few reach of the resident. affected

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

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 CALIFORNIA POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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