Kei-ai Los Angeles Healthcare Center
KEI-AI LOS ANGELES HEALTHCARE CENTER in LOS ANGELES, CA — inspection on February 27, 2026.
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
documentation outlining the specific clinical, functional, or safety factors that made discharge not
she had not notified the physician as stated on the summary of the IDT meeting notes.During an
resident remains in the facility without documented discharge goals or a documented rationale explaining why discharge home is not feasible.
The DON stated some goals and planning to be discussed is to assess if modifications need to be made to the resident's home such as grab bars, wheelchair access, make sure they educate resident on risks and ensure home health as follow up care.
The DON stated in Resident 1's case it may be necessary to notify Adult Protective Services to follow up on resident. DON stated he usually participates in the IDT meeting, but could not remember if he was part of the meeting with Resident 1, however, someone from the team should have notified the MD to evaluate Resident 1 to determine discharge goals.
The DON stated failure to document discharge planning efforts and resident-centered goals resulted in Resident 1 remaining in the facility without a clear plan, explanation, or pathway toward discharge.Documentation from the IDT meeting dated 2/19/2026 stated that the physician would be notified regarding the resident's request for discharge and the team's determination that discharge was not deemed safe.
Record review as of 2/27/2026 revealed:No documentation that the physician was notified.No physician progress note addressing discharge appropriateness.No physician order related to discharge planning or safety concerns.No follow-up documentation indicating consultation occurred.
Staff interview confirmed that the physician had not yet been notified.During a review of the facility's policy and procedure titled Change of Condition Reporting dated 3/2025, indicated it is the policy of this facility that changes in resident condition will be communicated to the primary physician for proper management.
Any sudden or serious change in a resident's condition manifested by a marked change in physical or psychological status of the resident will be communicated by the Licensed Nurse to the physician with a request for physician visit promptly and acute care evaluation.
555438 02/27/2026
Kei-Ai Los Angeles Healthcare Center 2221 Lincoln Park Ave Los Angeles, CA 90031
feasible.
The DON stated some goals and planning to be discussed is to assess if modifications need
may be necessary to notify Adult Protective Services to follow up on resident. DON stated he usually
however, someone from the team should have notified the MD to evaluate Resident 1 to determine discharge goals.
The DON stated failure to document discharge planning efforts and resident-centered goals resulted in Resident 1 remaining in the facility without a clear plan, explanation, or pathway toward discharge.During a review of the facility's policy and procedures (P&P) titled Transfers, Bed holds, and Discharges out of the facility dated 4/2025, indicated The IDT will reevaluate the resident's potential for discharge on a weekly basis to identify changes that required modification of the discharge plan.
The discharge plan will be updated and changes documented in the medical record.
The SSD will updated the resident's comprehensive care plan to include the discharge plan.
The physician will document the basis of the discharge when a resident's health has improved sufficiently so the resident no longer needs the services provided by the facility.During a review of the facility's P&P titled Discharge Summary and Plan dated 4/2025, the P&P indicated the discharge summary will include a description of the resident's discharge potential (the expectation of discharging the resident from the facility within the next three months). If it is determined that returning to the community is not feasible, it will be documented why this is the case and who made the determination. A copy of the following will be provided to the resident in the resident's medical records:An evaluation of the resident's discharge needsThe post discharge planDischarge summary.