Kei-ai Los Angeles Healthcare Center
KEI-AI LOS ANGELES HEALTHCARE CENTER in LOS ANGELES, CA — inspection on September 23, 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 a telephone interview on 9/23/2025 at 12:43 PM with RN 3, RN 3 stated on 9/11/2025 at around 11:15 PM he (RN3) was asked by RN 1 to come and see Resident 1 to be another witness. RN 3 stated he (RN3) saw Resident 1's legs wrapped in a long bedsheet which was tied to each end of the resident's bed. RN 3 stated the bed sheet was tied around Resident 1's legs. RN 3 stated Resident 1 could not move his legs. RN 3 stated Resident 1 was placed in a restraint. RN 3 stated Resident 1 being restrained was abuse because the resident could not move freely. RN 3 stated there was a potential for Resident 1 to have his skin broken and his circulation cut off because of the restraints.
During an interview on 9/23/2025 at 1:42 PM with the Director of Staff Development (DSD), the DSD stated wrapping a sheet around Resident 1's legs and then tying the sheet to the bed was considered a restraint because it limited and restricted the resident's movement.
The DSD stated wrapping a sheet around a resident's legs and then tying the sheet to the bed was not a normal practice at the facility.
The DSD stated, we don't do that here.
The DSD stated restraints affect the resident's rights and dignity.
During an interview on 9/23/2025 at 3:04 PM with the Director of Nursing (DON), the DON stated wrapping a resident's legs with a sheet and tying the sheet to the bed frame was a form of restraint.
The DON stated that it was not a normal practice in the facility.
The DON stated, we don't do that here.
The DON stated CNA 2 took it upon himself to restrain Resident 1.
The DON stated CNA2 should not have tied the resident with a sheet.
The DON stated restraining Resident 1 could have potentially resulted in an injury and affected the resident's mental well-being.
During a review of the facility's Policy and Procedure (P&P) titled Use of Restraints dated 4/24/25, the P&P indicated Restraints shall only be used to treat the resident's medical symptom(s) and never for discipline or staff convenience, or for the prevention of falls.Physical Restraints are defined as any manual method or physical or mechanical device, material or equipment attached or adjacent to the resident's body that the individual cannot remove easily, which restricts freedom of movement or restricts normal access to one's body.Practices that inappropriately utilize equipment to prevent resident mobility are considered restraints and are not permitted, including.Tucking sheets so tightly that a bed bound resident cannot move.Restraints shall only be used upon the written order of a physician and after obtaining consent from the resident and/or representative (sponsor).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Kei-Ai Los Angeles Healthcare Center
2221 Lincoln Park Ave Los Angeles, CA 90031
SUMMARY STATEMENT OF DEFICIENCIES
During a telephone interview on 9/23/2025 at 12:43 PM with RN 3, RN 3 stated on 9/11/2025 at around 11:15 PM he (RN3) was asked by RN 1 to come and see Resident 1 to be another witness. RN 3 stated he (RN3) saw Resident 1's legs wrapped in a long bedsheet which was tied to each end of the resident's bed. RN 3 stated the bed sheet was tied around Resident 1's legs. RN 3 stated Resident 1 could not move his legs. RN 3 stated Resident 1 was placed in a restraint. RN 3 stated Resident 1 being restrained was abuse because the resident could not move freely. RN 3 stated there was a potential for Resident 1 to have his skin broken and his circulation cut off because of the restraints.
During an interview on 9/23/2025 at 2:12 PM with the Administrator (ADM), the ADM stated he (ADM) was the abuse coordinator.
The ADM stated that he (ADM) was made aware of Resident 1 being found with his legs wrapped on 9/11/2025 at 11:30 PM.
The ADM stated he (ADM) reported the incident involving Resident 1 to CDPH and the Ombudsman on 9/12/2025.
The ADM stated he (ADM) did not report the incident to CDPH and the Ombudsman sooner because there was no serious bodily injury.
During an interview on 9/23/2025 at 3:04 PM with the Director of Nursing (DON), the DON stated the ADM was the facility's abuse coordinator.
The DON stated the ADM reported the incident involving Resident 1 and CNA 2 to CDPH and the Ombudsman.
The DON stated the incident was not reported within two hours because Resident 1 did not have any serious bodily injury.
During a review of the facility's Policy and Procedure (P&P) titled Abuse Investigation and Reporting dated 4/10/2025, the P&P indicated All reports of resident abuse, neglect, exploitation, misappropriation of resident property, mistreatment and/or injuries of unknown source ( abuse) shall be promptly reported to local, state and federal agencies (as defined by current regulations) and thoroughly investigated by facility management. findings of abuse investigations will also be reported.An alleged violation of abuse, neglect, exploitation or mistreatment (including injuries of unknown source and misappropriation of resident property) will be reported immediately, but not later than: a.
Two (2) hours if the alleged violation involves abuse OR has resulted in serious bodily injury; or b.
Twenty-four (24) hours if the alleged violation does not involve abuse AND has no resulted in serious bodily injury.
Facility ID: