Fountain View Subacute And Nursing Center

During an interview on 12/ 29/2025 at 2:52 PM with the Director of Nursing (DON), the DON stated the process for ensuring residents attend their appointments involves following the doctor's orders.

When residents return from outside clinics, they are given new orders or follow-up dates.

The nurses then create an order, communicate among themselves, endorse, and hold a huddle.

The expectation is that when residents return, they have progress notes from the doctor, follow-up appointments, or new orders.

The DON mentioned that failure to document new orders and follow-up appointments delayed treatment for Resident 1, potentially causing health deterioration, unmet care needs, and a lack of quality of life.

During an interview on 12/29/2025 at 3:05 PM with the Administrator, the Administrator stated the facility can send one of the Certified Nursing Assistants or Activity Staff to escort Resident 1 to his appointments.

The Administrator mentioned lack of staff is not a reason to miss resident appointments.

The Administrator stated that two social workers recently left.

They hired the current SSW four months ago and are awaiting another hire to help manage the high workload.During a review of the facility's policy and procedures (P&P) titled Appointments, undated, the P&P indicated the facility will assist in scheduling appointments and arranging transportation for residents to ensure they can attend their appointments. If needed, arrangements will be made for a resident to have someone accompany them to their appointment.

Licensed nurses document resident's departure and clinical condition on the day of the appointment and when the resident comes back.

Any new orders and follow-up appointments are documented in the electronic health record and follow-up availability of Medical Doctor progress notes is to be included in resident's medical record.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/29/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Fountain View Subacute and Nursing Center

5310 Fountain Ave Los Angeles, CA 90029

SUMMARY STATEMENT OF DEFICIENCIES

During a review of Resident 2's admission Record, the admission Record indicated Resident 2 was admitted to the facility on [DATE] with diagnosis of heart failure (the heart muscle isn't pumping blood as well as it should, failing to meet the body's needs for oxygen and nutrients, leading to fluid buildup (swelling) and symptoms like shortness of breath and fatigue), obesity (excessive body fat), and reduced mobility.

During a review of Resident 2's Minimum Data Set (MDS- a resident assessment tool) dated 2/8/2025, indicated Resident 2 had intact cognition (ability to think, remember and reason) for decisions of daily living, and required maximal assistance (Helper does MORE THAN HALF the effort.

Helper lifts or holds trunk or limbs and provides more than half the effort) for eating, upper body dressing, oral hygiene, and personal hygiene.

The MDS indicated Resident 2 was dependent (Helper does ALL of the effort.

Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity) on staff for toileting, lower body dressing, putting on/off footwear, showering, and rolling left and right.

During a concurrent observation and interview on 12/29/2025 at 12:31 PM in Resident 2' room, Resident 2 stated he was very upset because he requested assistance with transferring to a different facility and stated that he did not receive any updates regarding the status of his request for approximately one month.

The resident verbalized frustration and concern due to the lack of communication and perceived lack of support with his care preferences. Resident 2 stated he had stopped his physical therapy (PT) sessions to save his hours of PT for when he was transferred to the facility of his choice.

During an interview on 12/29/2025 at 1:30 PM with the Social Services Worker (SSW), the SSW acknowledged that she failed to follow up on the Resident 2's request by contacting the requested receiving facility.

The SSW further admitted that she did not provide Resident 2 with updates regarding the status of the transfer request during that period.

Record review revealed no documentation indicating that the requested facility had been contacted or that Resident 2 had been informed of any progress or delays related to his request.

During an interview on 12/29/2025 at 2:52 PM with the Director of Nursing (DON), the DON stated it is the responsibility of the SSW to assist residents in obtaining resolution to grievances, requests, and accommodation of needs by communicating with residents any updates regarding their concerns.

The DON stated communicating with residents was important to maintain resident rights and quality of care.During a review of the facility's policy and procedures (P&P) titled Social Services, dated 9/2021, the P&P indicated the director of social services is responsible for assisting with the medically-related social service needs of residents including, situations that impede the resident's dignity and sense of control, helping residents with transitions of care services, advocating for and assisting residents rights and obtaining resolution to living conditions, grievances about treatment and accommodation of needs.

Facility ID: