Guardian Rehabilitation Hospital
GUARDIAN REHABILITATION HOSPITAL in LOS ANGELES, CA — inspection on January 30, 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
During an observation on 1/28/25 at 10:38 a.m., in Resident 49's room, Resident 49 was sitting up in a wheelchair.
Restorative Nursing Aide (RNA) 1 took two knee splints from the closet and placed knee splints on Resident 49's left and right knees. RNA 1 put the left knee splint low on the Resident 49's leg and the knee portion of the splint was on the lower part of the leg and not over the left knee. RNA 1 put the right knee splint over the right knee. RNA 1 indicated the RNA treatment was complete and left the room.
During an observation and interview on 1/28/25 at 11:07 a.m. in Resident 49's room, Physical Therapist (PT) 1 observed the left knee splint on Resident 49's left leg and stated the left knee splint was too low and should be placed higher on the left leg. PT 1 proceeded to take off the left knee splint and placed it higher on Resident 49's leg where the knee portion of the splint was over the left knee. PT 1 stated splints should be put on correctly because otherwise the splints were not serving its purpose and Resident 49's contracture could get worse.
056008
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 056008 B.
Wing 01/30/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Guardian Rehabilitation Hospital 533 S.
Fairfax Ave Los Angeles, CA 90036
During an observation on 1/28/25 at 10:38 a.m., in Resident 49's room, Resident 49 was sitting up in a wheelchair. RNA 1 took two splints from the closet and put the knee splints on Resident 49's left and right knees. RNA 1 put the left knee splint low on the Resident 49's leg and the knee portion of the splint was on the lower part of the leg and not over the left knee. RNA 1 put the right knee splint over the right knee. RNA 1 then indicated the RNA treatment was complete and left the room.
During an observation and concurrent interview on 1/28/25 at 11:07 a.m., in Resident 49's room, Physical Therapist (PT) 1 observed the left knee splint on Resident 49's left leg and stated the left knee splint was too low and should be put on higher. PT 1 proceeded to take off the left knee splint and placed it higher on Resident 49's leg and the knee portion of the splint was over the left knee. PT 1 stated splints should be put on correctly because otherwise the splints were not serving its purpose, and the contracture could get worse.
During an interview on 1/29/25 at 2:22 p.m., the Director of Nursing (DON) stated RNAs need to place splints on residents correctly so that residents did not develop contractures and have limitations in ROM.
A review of the facility's policy and procedure (P&P) titled, Splint Application, revised 5/17 indicated, Splints must be applied correctly to maintain the resident's range of motion and prevent contractures and further loss of range of motion.
b. A review of Resident 49's Physical Therapy Evaluation and Plan for Treatment dated 11/14/24, indicated the resident had impairments in ROM in both knees in extension (cannot fully straighten both knees).
The PT Evaluation indicated a long-term goal for Resident 49 to safely wear a knee extension splint on left knee and right knee for up to four hours with minimal signs and symptoms of redness, swelling, discomfort or pain.
056008
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 056008 B.
Wing 01/30/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Guardian Rehabilitation Hospital 533 S.
Fairfax Ave Los Angeles, CA 90036