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Complaint Investigation

East Terrace Rehabilitation & Wellness Centre, Lp

August 12, 2025 · Los Angeles, CA · 2415 South Western Avenue
Citations 2
CMS Rating 1/5
Beds 99
Provider ID 056114
Healthcare Facility
East Terrace Rehabilitation & Wellness Centre, Lp
Los Angeles, CA  ·  View full profile →
Inspection Summary

EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP in LOS ANGELES, CA — inspection on August 12, 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.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During a review of facility's Policy and Procedure (P&P) titled, Persons Centered - Caring Planning, dated 5/20/2025, the P&P indicated the facility must develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives, and timeframes to meet residents medical, nursing and mental and psychosocial needs that are identified in the comprehensive assessment.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

East Terrace Rehabilitation & Wellness Centre, LP

2415 South Western Avenue Los Angeles, CA 90018

SUMMARY STATEMENT OF DEFICIENCIES

application for building and managing online surveys and databases) of County of Los Angeles Public Health on 7/30/2024 timed 5:37 p.m. LVN 1 stated the Director of nursing (DON) was made aware and stated to handle the COVID-19 outbreak the way it should be handled (unspecified). LVN 1 stated, the COVID-19 cases were reported to the Administrator (ADM) and stated I will report it later (unspecified). LVN 1 stated the COVID-19 cases were not reported to CDPH as indicated in the facility's policy that the outbreak is an unusual occurrence and needs to be reported. LVN 1 stated it was important to report the COVID-19 cases to CDPH so CDPH can investigate the outbreak.During a concurrent interview and record review on 8/12/2025 at 2:30 p.m. with the Registered Nurse (RN) 1, the unusual occurrence policy was reviewed. RN 1 stated the unusual occurrence policy indicated a disease outbreak must be reported to CDPH. RN 1 stated it is important to report it because the CDPH can do a deeper investigation of the outbreak.

During an interview on 8/12/2024 at 3:00 p.m. with the Administrator (ADM), the ADM stated the facility should have reported the COVID-19 cases to the State licensing agency.

The ADM stated CDPH will investigate the outbreak and make sure we follow the guidelines to provide proper resident care.During a review of facility's Policy and Procedure (P&P) titled, Unusual Occurrence Reporting, dated 6/12/2024, the P&P indicated the facility should report reportable disease outbreak by phone and writing to the appropriate State and federal agencies.During a review of facility's P&P titled, Communicable Diseases- Outbreak, dated1/1/2012, the P&P indicated outbreaks of communicable diseases within the facility are promptly identified and appropriately reported.

The P&P indicated an outbreak of most communicable diseases is defined as one case of an infection that is highly communicable.

Facility ID:

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 EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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