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Complaint Investigation

East Terrace Rehabilitation & Wellness Centre, Lp

September 26, 2025 · Los Angeles, CA · 2415 South Western Avenue
Citations 1
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 26, 2025.

Found 1 citation. 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

FF0627
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During a concurrent interview and record review on 9/26/2025 at 1:28 p.m. with the Registered Nurse (RN1), the Notice of Proposed Transfer and Discharge, dated 9/4/2025 was reviewed. RN 1 stated Resident 1 lacks the mental capacity to make medical decisions but the Notice of Proposed Transfer and Discharge indicated Resident 1 was responsible and was capable of verbalizing his needs. RN 1 stated the Notice of Proposed Transfer and Discharge did not indicate signatures of the resident or the responsible party.

During a telephone interview on 9/29/2025 at 4:13 p.m., with Resident 1's family member (FM 1), FM 1 stated she was not informed or was included in the interdisciplinary meeting or discharge planning for Resident 1. FM 1 stated the facility called on 9/8/2025 and left a message regarding Resident 1 was discharged to a lower level of care. FM 1 stated her brother has short term memory and was not capable of retaining information. FM 1 said the facility was not forthcoming with information and thought the facility had dumped Resident 1 into the streets. FM 1 stated she contacted the Caretaker of the RCFE and learned they allow stray (refers to people who are lost, separated from a group, or wandering without a fixed purpose or destination, often implying a sense of being homeless, friendless, or out of place) individuals inside the residence.

During a review of the facility's P&P titled Discharge and Transfer of Residents, dated 2/27/2025, the P&P indicated prior to discharge, the facility should provide the resident /resident representative with the notice of Proposed Transfer and Discharge document.

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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