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Complaint Investigation

East Terrace Rehabilitation & Wellness Centre, Lp

September 5, 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 September 5, 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

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

the facility's P&P titled, Abuse Prevention and Management, dated 6/12/2024, the P&P indicated the definition of abuse included injuries of unknown source or punishment with resulting physical harm, pain, or mental anguish.During a review the facility's P&P titled, Unusual Occurrence Reporting, dated 6/2024 was reviewed.

The P&P indicated the facility would report allegations of abuse and unusual occurrences that affect the welfare, health, or safety of residents by phone and in writing to the appropriate State or Federal agencies within 24 hours.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/05/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

East Terrace Rehabilitation & Wellness Centre, LP

2415 South Western Avenue Los Angeles, CA 90018

SUMMARY STATEMENT OF DEFICIENCIES

During a review of Resident 1's physician orders titled, Order Summary Report, dated 8/30/2025, the physician orders indicated to cleanse right inner thumb cleanse with normal saline (an isotonic, sterile solution of sodium chloride [salt] in water), pat dry, and paint with betadine leave open to air daily for 7 days.During an observation on 9/3/2025 at 9:30 a.m. in Resident 1's room, Resident 1's right hand had stitches between the right thumb and index finger (second finger).During a concurrent interview and record review on 9/4/2025 at 10:38 a.m. with Treatment Nurse (TN) 1, Resident 1's care plans were reviewed. TN 1 stated there were no care plans or interventions for the sutures (a row of stitches holding together the edges of a wound) on Resident 1's right hand. TN 1 stated the care plan would set goals and interventions to maintain the care of the sutures. TN 1 stated without the proper interventions and goals, Resident 1 could get an infection to the right hand.

During an interview on 9/4/2025 at 10:45 a.m., with Registered Nurse (RN) 1, RN 1 stated having a care plan was important to make sure interventions, such as dressing changes, medications or monitoring for signs of infection, were being followed daily. RN 1 stated the goal for Resident 1's care plan would be to prevent infection.During a review of the facility's policy and procedures (P&P) titled, Comprehensive Person-Centered Care Planning, dated 11/2018, the P&P indicated to ensure a comprehensive person-centered care plan was developed for each resident.

The P&P indicated the care plan must reflect the resident's stated goals and objectives and include interventions that address their other needs.

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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