Crenshaw Nursing Home
CRENSHAW NURSING HOME in LOS ANGELES, CA — inspection on March 21, 2025.
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 16's Admission Record, the Admission Record indicated, Resident 16 was initially admitted to the facility on [DATE] and readmitted on [DATE]. Resident 16's diagnoses included anxiety disorder (a mental health condition characterized by excessive, persistent, and irrational worry or fear that interferes with daily life), chronic obstructive pulmonary disease ([COPD] - a chronic lung disease causing difficulty of breathing) and dementia (a progressive state of decline in mental abilities).
During a review of Resident 16's Minimum Data Set ([MDS] - a resident assessment tool), dated 1/10/2025, the MDS indicated, Resident 16's cognitive (ability to think and reason) skills for daily decision making was severely impaired (never/rarely made decisions).
The MDS indicated Resident 16 was dependent (helper does all of the effort) from staff with oral hygiene, upper body dressing, and personal hygiene.
During a review of Resident 16's Order Summary Report (a document containing active orders), dated 3/20/2025, the Order Summary Report indicated, the physician placed a telephone order on 2/1/2025 for Resident 16 to start on lorazepam (medication used to relieve anxiety) to give 0.5 milligrams ([mg] - metric unit of measurement, used for medication dosage and/or amount) by mouth every 12 hours as needed for anxiety manifested by restlessness (unable to stay still in bed).
2.
During a review of Resident 41's Admission Record, the Admission Record indicated 41 was initially admitted to the facility on [DATE] and readmitted on [DATE]. Resident 41's diagnoses included anxiety disorder, anemia (a condition where the body does not have enough healthy red blood cells), and protein calorie malnutrition (a condition caused by a severe lack of protein and calories).
During a review of Resident 41's MDS, dated [DATE], the MDS indicated, Resident 41's cognitive skills for daily decision making was severely impaired.
The MDS indicated, Resident 41 required maximal assistance (helper does more than half the effort) from staff with eating, upper body dressing, and personal hygiene.
055525
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 055525 B.
Wing 03/21/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Crenshaw Nursing Home 1900 S Longwood Ave Los Angeles, CA 90016
During a review of Resident 16's Minimum Data Set ([MDS] - a resident assessment tool), dated 1/10/2025, the MDS indicated, Resident 16's cognitive (ability to think and reason) skills for daily decision making was severely impaired (never/rarely made decisions).
The MDS indicated Resident 16 was dependent (helper does all of the effort) from staff with oral hygiene, upper body dressing, and personal hygiene.
During a review of Resident 16's Order Summary Report, dated 3/20/2025, the Order Summary Report indicated physician's telephone order, dated 2/1/2025, for Resident 16 to start lorazepam (medication used to relieve anxiety) 0.5 milligrams ([mg] - metric unit of measurement, used for medication dosage and/or amount) by mouth every 12 hours as needed for anxiety manifested by restlessness (unable to stay still in bed).
During a review of the Pharmacist Consultant Medication Regimen Review (MRR), dated 2/15/2025, the MRR indicated the recommended maximum daily dose for lorazepam when used for the elderly is 2mg/day, indicating Resident 16's order of lorazepam 0.5mg/ml every 12 hours as needed, had the potential to exceed 2mg/day.
The MRR indicated pharmacy consultant's recommendation for Resident 16's physician to re-evaluate the order of lorazepam or to document the risk and benefit if the current order was indicated.
2.During a review of Resident 41's Admission Record, the Admission Record indicated 41 was initially admitted to the facility on [DATE] and readmitted on [DATE]. Resident 41's diagnoses included anxiety disorder, anemia (a condition where the body does not have enough healthy red blood cells), and protein calorie malnutrition (a condition caused by a severe lack of protein and calories).
055525
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 055525 B.
Wing 03/21/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Crenshaw Nursing Home 1900 S Longwood Ave Los Angeles, CA 90016