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Health Inspection

Miracle Mile Healthcare Center, Llc

January 5, 2025 · Los Angeles, CA · 1020 South Fairfax Ave
Citations 2
CMS Rating 1/5
Beds 120
Provider ID 555139
Healthcare Facility
Miracle Mile Healthcare Center, Llc
Los Angeles, CA  ·  View full profile →
Inspection Summary

MIRACLE MILE HEALTHCARE CENTER, LLC in LOS ANGELES, CA — inspection on January 5, 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.

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Inspection Findings

FF584
Minimal harm or equipment. Policy Interpretation and Implementation 1. The maintenance department is responsible for Some federal, state, and local laws, regulations, and guidelines. B. maintaining the building in good repair and free affected

During an interview on 1/4/2025 at 4:13 pm with Assistant Maintenance Supervisor (AMS) and Assistant Laundry Supervisor (ALS), the ALS stated he was temporarily in charge of the laundry service as acting laundry services supervisor. AMS stated that the washing machine had been out of service for about a month. AMS stated the industrial washing machine needed a part that was being ordered. AMS was not familiar with how to install the ordered part, and someone will have to be sent to the facility to install the part on the machine. AMS stated until then there was only one machine used to wash the linen for the facility.

During observation on 1/5/2025 4:10 pm the laundry room had two industrial size laundry machines and one small commercial size washing machine; in addition, the laundry room had two industrial size drying machines.

One of two industrial washing machines was out of service.

The machine to the right side of the laundry room was empty and the electronic display read Error scrolling across the screen continually.

The laundry room had one bin full of dirty linen and the working industrial washer was washing a full load of facility linen.

The small commercial size washer was not in use at the time, however, according to laundry worker 1 (LW 1) the small commercial size washing machine was in working condition.

During an interview on 1/5/2025 at 4:12 LW 1 stated, the industrial size laundry machine had not been working for over three weeks. LW 1 stated that some time prior, someone went out to fix the industrial washing machine, however, they stated that a part needed to be ordered and someone needed to install the part before the machine could be used again.

During an interview on 1/5/2025 4:23 pm the Director of Nursing (DON) was not sure if the part to fix the machine had been ordered, or an appointment for a repair person was scheduled.

The DON stated he would check to see if a technician was scheduled to come out to fix the machine or if the part was ordered.

The DON stated, if there was only one machine, it could cause a delay in delivering clean linen to the staff in the resident care area.

The DON stated the shortage of clean linen could cause the residents to feel some frustration due to a delay in having their linen changed.

555139

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 555139 B.

Wing 01/05/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Miracle Mile Healthcare Center, LLC 1020 South Fairfax Ave Los Angeles, CA 90019

During observation in Resident 3's room on 01/02/25 at 7:02 pm, Resident 3 was observed laying on the bed with no blanket or linen, aside from the fitted sheet that was on the bed.

During an interview on 01/02/25 at 7:02 pm, Resident 3 stated the certified nursing assistant (CAN) on day shift removed the resident's linen to change the linen for the day, however there was no clean linen available, so the CNA took the used linen and did not return. Resident 3 did not remember the time the CNA took the linen; however, stated the CNA took the linen in the morning and the resident had not had any linen on the bed since early that morning.

During an interview on 01/02/25 at 7:28 pm, CNA 1 Stated, Linen was changed in the morning, and as needed. CNA 1 stated residents should always have a top sheet and a blanket along with pillowcases. CNA 1 stated she (CNA1) was not able to replace the linen for Resident 3 because the linen had not been delivered to the floor for staff.

During an interview on 1/5/25 at 4:23 pm, the Director of Nursing (DON) stated all residents had the right to have a homelike environment to the extent possible while living in the facility.

The DON stated having a homelike environment meant the resident's beds were to be completely made with clean linen daily.

The DON stated linen included a fitted sheet, cover sheet with pillowcases and a blanket.

The [NAME] stated if the beds were not clean and with all the linen on the bed, then the resident would experience the discomfort of not having a homelike environment.

555139

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 555139 B.

Wing 01/05/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Miracle Mile Healthcare Center, LLC 1020 South Fairfax Ave Los Angeles, CA 90019

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 MIRACLE MILE HEALTHCARE CENTER, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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