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Complaint Investigation

Longwood Manor Conv.hospital

Inspection Date: September 24, 2025
Total Violations 1
Facility ID 055753
Location LOS ANGELES, CA
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Inspection Findings

F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

stated if medication for blood glucose control is not given on time, residents can experience an episode of hyperglycemia and have the risk of being transferred to the hospital. LVN 1 stated the metformin for Resident 2 was administrated at 9:00 a.m., but the medications were scheduled for 7:30 a.m. LVN 1 stated I have a lot of residents to attend, that I do not always start on time. During an interview on 9/24/2025 at 1:02 p.m., with LVN 2, LVN 2 stated that after residents received their medications, nurses need to document the medications residents took. LVN 2 stated it is important because it is proof of the time medications were administered. During an interview on 9/24/2025 at 1:30 p.m. with Registered Nurses (RN) 1, RN 1 stated it is not acceptable to administer medications more than an hour late. RN 1 stated not administering medications on time is not following doctors' orders. RN 1 stated if metformin or gabapentin were not administrated on time, residents can be at risk of hyperglycemia or seizures. RN 1 stated the facility protocol is to document the medications given to the residents as nurses pass the medications. During a

review of the facility's policy and procedure (P&P) titled, Pain Assessment and Management, dated 3/2020,

the P&P indicated the pain management program is based on a facility -wide commitment to appropriate assessment and treatment of pain, based on professional standard or practice, the comprehensive care plan, and the residents choices related to pain management. The P&P indicated pain management interventions should reflect the sources, type and severity of pain. The P&P indicated resident's reported level of pain with adequate detail should be documented as necessary and in accordance with the pain management program. The P&P indicated upon completion of the pain assessment, the person conducting

the assessment should record the information obtained from the assessment in residents medical records.

During a review of the facility's P&P titled, Medication Administration -General Guidelines, dated 3/7/2024,

the P&P indicated medications should be administered in accordance with written orders of the attending physician. The P&P indicated medications should be administered within 60 minutes of schedule time (1 hour before and 1 hour after), except before or after meals orders, which are administrated based on mealtimes. The P&P indicated the individual who administers the medication dose records the administration on the resident's MAR directly after medication is given. The P&P indicated at the end of each medication pass, the person administrating the medications reviews the MAR to ensure necessary dose were administered and documented.

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📋 Inspection Summary

LONGWOOD MANOR CONV.HOSPITAL in LOS ANGELES, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LOS ANGELES, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LONGWOOD MANOR CONV.HOSPITAL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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