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Complaint Investigation

Costa Del Sol Healthcare

Inspection Date: November 21, 2025
Total Violations 1
Facility ID 055697
Location LOS ANGELES, CA
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Inspection Findings

F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

11/20/2025, the Notes indicated Resident 1 handed written prescriptions from the GACH visit on 11/17/2025 to the Assistant Director of Nursing (ADON). The Notes indicated the prescription was sent to

the physician on 11/20/2025. During an interview on 11/21/2025 at 2:50 p.m., with the ADON, the ADON stated she was unaware Resident 1 returned from the ER visit with new prescriptions. The ADON stated Resident 1 provided her with the new prescriptions on 11/20/2025 and she contacted Resident 1's physician to reconcile the prescription (on 11/20/2025).During an interview on 11/24/2025 at 11 a.m., with Registered nurse (RN 1), RN 1 stated he forgot to ask Resident 1 about the discharged paper from the ER visit on 11/17/2025 because Resident 1 was very agitated, complaining and demanding for her pain medication. RN 1 stated that he should have gotten the discharged paper and the prescriptions from Resident 1, reconciled the new prescription with her physician before administering medication to the resident.During an interview on 11/24/25 at 2 p.m., with the Director of Nursing (DON), the DON stated,

during a readmission or transfer back of residents from the GACH, the licensed nurse should obtain the discharged records from and reconcile any prescriptions with the primary care physician before administering medicationsDuring a review of the facility's Policy and Procedure (P&P) titled, Reconciliation of Medications on Admission, dated 7/2017, the P&P indicated that the purpose of the policy is to ensure medication safety by accurately accounting for the resident's medications, route and dosage upon admission or readmission to the facility.During a review of the facility's P&P titled, Medication Administration dated February 2024, the P&P indicated medications are administered in a safe, timely manner and as prescribed.

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📋 Inspection Summary

COSTA DEL SOL HEALTHCARE in LOS ANGELES, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 COSTA DEL SOL HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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