Kennedy Care Center
KENNEDY CARE CENTER in LOS ANGELES, CA — inspection on July 22, 2024.
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 interview with the Director of nursing (DON) on 7/21/2024 at 8:30 PM, the DON stated offloading heels is important to promote healing, not following doctor's orders could delay healing of wounds.
A review of the facility's policy and procedures titled Prevention of Pressure Ulcers dated, 04/2020 indicated, . provide support devices and assistance as needed.
43261
2a. A review of Resident 1's Admission Record indicated the resident was originally admitted on [DATE] and was readmitted on [DATE] with diagnoses including encephalopathy (a disease in which the functioning of the brain is affected by some agent or condition-such as viral infection or toxins in the blood), obesity (a disorder involving excessive body fat that increases the risk of health problems), and diabetes mellitus (DM-a long term condition that affects the way the body processes blood sugar [glucose]).
A review of Resident 1's MDS dated [DATE], indicated Resident 1 had a severely impaired cognition (ability to think and make decisions) and requiring maximal assistance from staff for activities of daily living (ADL-bed mobility, surface transfer, eating, walk in room, dressing, toileting, and personal hygiene).MDS also indicated Resident 9 was admitted with a stage four (4) pressure ulcer.
A review of Resident 1's Order Summary Report (OSR), dated 9/10/2023, the OSR indicated that Resident 1 has an order for pressure reducing mattress.
A review of Resident 1's Weight Summary Report (WSR), dated 7/9/2024, the WSR indicated Resident 1 weighed 178 pounds (lbs - unit of measurement).
During a concurrent observation and interview with Licensed Vocational Nurse 7 (LVN 7) on 7/19/2024 at 7:48 p.m., Resident 1's LAL mattress was observed at a setting between 80 lbs. to 160 lbs. with a weight sticker posted in the LAL mattress machine, indicating 119 lbs. LVN 7 stated the LAL mattress should be set via weight or the comfort of the resident. LVN 7 also stated that Resident 1's LAL mattress setting should be between 160 lbs. to 240 lbs. since Resident 1 weighed 178 lbs.
055977
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 055977 B.
Wing 07/22/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Kennedy Care Center 619 N.
Fairfax Ave Los Angeles, CA 90036
During an observation of Resident 16 on 7/19/2024 at 6:49 p.m., Resident 16 was in bed, lying on a LAL mattress with the LAL mattress knob set at 130. Resident 16 stated, the LAL mattress, feels just ok and feels firm.
055977
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 055977 B.
Wing 07/22/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Kennedy Care Center 619 N.
Fairfax Ave Los Angeles, CA 90036