La Brea Rehabilitation Center
LA BREA REHABILITATION CENTER in LOS ANGELES, CA — inspection on May 29, 2026.
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 a review of Resident 1's
(MD) was notified and waiting for new order for pain.
During a review of Resident 1's Progress Notes
intractable pain [severe, constant pain] at left flank [pain on the side between the ribs and the hip]. notified MD), transferred to GACH 1 via 911 (emergency phone number used to quickly reach local police, firefighters, or medical responders during an immediate crisis) due to left flank intractable pain.
During an interview on 5/28/2026 at 1:38 PM with Licensed Vocational Nurse 1 (LVN 1), LVN 1 stated that on 5/14/2026 during the morning shift Resident 1 reported severe pain and refused to take acetaminophen because Resident 1 reported, it didn't do anything for her and it's not going to work.
LVN 1 stated there was no other pain medication order for Resident 1 complained of severe pain. LVN 1 stated she (LVN1) contacted Resident 1's NP for an order of other pain medication and she (LVN1) reported it to the oncoming nurse (afternoon shift) to follow-up. LVN 1 stated Resident 1 received Dilaudid IVP medication at GACH 2 for severe pain and Resident 1's current pain regimen of acetaminophen and gabapentin are medications for mild to moderate pain.
During a concurrent interview and record review with LVN 2 on 5/28/2026 at 2:57 PM, LVN 2 stated in the morning of 5/15/2026, Resident 1 called 911 because of her (Resident 1) complaint of severe pain. LVN 2 stated they were awaiting from the physician's response for other pain medication and no response from Resident 1's MD since 5/14/2026.
During a concurrent interview and record review with Director of Nursing (DON) on 5/6/2025 at 3:01 PM, the DON stated staff must contact facility's Medical Director if resident's attending physician did not respond to their message.
The DON reviewed the internal mobile phone messaging to Resident 1's attending physician and stated staff (unidentified) sent messages regarding Resident 1's complaint of severe pain and a requested for another pain medication relieve regimen on 5/14/2026 at 2 PM.
The DON stated Resident 1 complained of 7-8/10 pain level and on 5/15/2026 at 12:25 AM.
The DON stated staff (unidentified) messaged Resident 1's attending physician regarding Resident 1 was not able to sleep and to please prescribe a stronger pain medications.
The DON stated there was no response by the attending physician and there was no attempted contact to the Medical Director on 5/14/2026 at 5/15/2026.
The DON reviewed Resident 1's attending physician's message on 5/15/2026 at 7:15 AM and stated the attending physician responded for an order for Norco (used to treat moderate to severe pain when other medications do not work) 5 mg every four hours as needed and morphine sulfate (MS contin used to manage severe and persistent pain) 15 mg bid (twice daily) scheduled.
The DON reviewed Resident 1's physician order and progress notes and stated there was no order placed for Norco and MS contin and there was documentation that staff received an order for Norco and MS contin.
During a review of the facility's P&P titled, Pain Assessment and Management, revised on 1/2026, the P&P indicated, If pain has not been adequately controlled, the multidisciplinary team, including the physician, shall reconsider approaches and make adjustments as indicated.
Report the following information to the physician or practitioner: significant changes in the level of the resident's pain. prolonged, unrelieved pain despite care plan interventions.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.