Infinity Care Of East Los Angeles
INFINITY CARE OF EAST LOS ANGELES in LOS ANGELES, CA — inspection on September 12, 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.
Inspection Findings
During an interview on 9/11/2025 at 11:45AM, Resident 1's Responsible Party (RP) stated Resident 1 informed RP of the fall on 8/31/2025. RP also stated she had informed Licensed Vocational Nurse 1 (LVN 1) on 8/31/2025 of Resident 1's fall.
The RP stated she made the Director of Nursing (DON) aware of Resident 1's fall on 9/1/2025.
During an interview on 9/11/2025 at 12:36PM, LVN 1 stated the RP informed him of Resident 1's fall. LVN 1 also stated because Resident 1 stated she did not fall; LVN 1 does not need to do anything else.
During an interview on 9/11/2025 at 1:53PM, the DON stated when a resident is suspected of a fall, an investigation would be needed to determine the fall.
During an interview and record review on 9/12/2025 at 11:37AM, LVN 1's Counseling Record, dated 9/1/2025, was reviewed.
The DON stated LVN 1 was written up and was provided education for the lack of reporting and monitoring of Resident 1's alleged fall.
During a review of the facility's P&P titled Assessing Falls and Their Causes, revised 3/2024, the P&P also indicated if an assessment rules out significant injury, help the resident to a comfortable sitting, lying, or standing position, and then document relevant details.
The P&P also indicated to notify the following individuals but not limited to the nurse supervisor on duty and the DON.During a review of the facility's P&P titled Investigating Resident Injuries, revised 3/2024, the P&P indicated if an incident/accident is suspected, a nurse or nurse supervisor completes the facility-approved accident/incident form.During a review of the facility's P&P titled Change in a Resident's Condition and Status, revised 3/2024, the policy indicated the nurse will record in a resident's medical record information relative to changes in the resident's medical/mental condition or status.During a review of the facility's P&P titled Safety and Supervision of Residents, revised 3/2024, the P&P indicated employees shall be trained on potential accident hazards and demonstrate competency on how to identify and report accident hazards and try to prevent avoidable accidents.6.
During a concurrent interview and record review on 9/12/2025 at 1:51PM, Resident 1's Progress notes, dated 8/31/2025 to 9/2/2025, were reviewed.
The DON stated there is no monitoring for Resident 1's fall other than 8/31/2025 for 3pm-11pm shift and 9/1/2025 for the 7am-3pm shift.
The DON also stated there should be documentation on monitoring Resident 1 for 8/31/2025 11pm to 7am shift, 9/1/2025 3pm to 11pm shift and 11pm to 7am shift, 9/2/2025 3pm to 11pm shift and 11pm to 7am shift.During a review of the facility's Policy and Procedure (P&P) titled Fall and Management of Fall Risk, revised 3/2024, the P&P indicated the staff will monitor and document responses to interventions intended to reduce falling or the risk of falling for the resident who experienced a fall.During a review of the facility's P&P titled Assessing Falls and Their Causes, revised 3/2024, the P&P indicated when a resident falls, documentation includes, but not limited to, assessment data, interventions, completion of fall risk assessment, and signature and title of person documenting.
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