Fountain View Subacute And Nursing Center
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER in LOS ANGELES, CA — inspection on November 24, 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
Licensed Vocational Nurse 1 (LVN 1), the LVN1 stated she was the charge nurse and the medication administration nurse for the day shift and that although Resident 3's ordered eye medication was present in the medication cart, it had not been administered to Resident 3 as scheduled.
The LVN1 further reported that the missed dose at 6 AM on 11/24/2025 was not endorsed to her during shift report.
The LVN1 also acknowledged that she did not assess Resident 3's pain level during her shift.During a concurrent interview and record review on 11/24/2025 at 3:41 PM with the Director of Nursing (DON), Resident 3's Care Plan, Order Summary, and Medication Administration Record was reviewed.
The DON stated the omission of the medication should have been documented, explained, and endorsed by the licensed nurses.
The DON stated a Comprehensive Care Plan should have been initiated for Resident 3's left eye blindness to ensure continuity of care between shifts, and failure to do so placed Resident 3 at risk for unmet needs and worsening health condition due to lack of interventions.During a review of the facility's policy and procedure titled Care Planning, dated 8/25/2021, indicated the facility's interdisciplinary team is responsible for the development of an individualized comprehensive care plan for each resident and is developed within seven days of the completion of the comprehensive assessment (MDS).During a review of the facility's policy and procedures (P&P) titled Nursing Documentation, dated 6/27/2022, the P&P indicated nursing documentation includes information about the patient's status, nursing assessment, interventions and expected outcomes, evaluation of patient's outcomes, and responses to nursing care.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Fountain View Subacute and Nursing Center
5310 Fountain Ave Los Angeles, CA 90029
SUMMARY STATEMENT OF DEFICIENCIES
medication should have been documented, explained, and endorsed by the licensed nurses.
The DON stated a Comprehensive Care Plan should have been initiated for Resident 3's left eye blindness to ensure continuity of care between shifts, and failure to do so placed Resident 3 at risk for unmet needs and worsening health condition due to lack of interventions.During a review of the facility's policy and procedures (P&P) titled Medication Administration, undated, indicated medications are administered in accordance with prescriber orders, including any required time frame.
Medication errors are documented, reported, and reviewed by the QAPI committee to inform changes or the need for additional staff training.
Medications are administered within one hour of their prescribed time. If a drug is withheld, refused, or given at a time other than the scheduled, document the reason.
Facility ID:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.