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Complaint Investigation

Miracle Mile Healthcare Center, Llc

Inspection Date: March 14, 2025
Total Violations 1
Facility ID 555139
Location LOS ANGELES, CA
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Inspection Findings

F-Tag F622

F-F622

Findings:

During a review of Resident 1's Admission Record , the record indicated the resident was admitted to the facility on [DATE REDACTED] with diagnoses including; paranoid schizophrenia, anemia, diabetes mellitus (DM-, major depressive disorder and hypertensive (high blood pressure) heart disease. The same record further indicated Resident 1 was self- responsible.

During a review of the Minimum Data Set (MDS - a resident assessment tool) dated 8/19/24 indicated Resident 1's cognitive (relating to mental action or process of acquiring knowledge and understanding) skills for daily decisions were severely impaired and had medically complex conditions. The MDS further indicated Resident 1 required set up or clean-up assistance to supervision or touching assistance from staff for activities of daily living (ADLs- routine tasks/activities such as bathing, dressing and toileting a person performs daily to care for themselves), toilet transfers and walking, and was independent with bed mobility.

During a telephone interview with Medical Doctor (MD) 1 on 3/13/25 at 1:14 pm, MD 1 the facility was not one of his (that he sees residents at).

During an interview with concurrent record review with Medical Records Director (MRD) on 3/13/25 at 3:00 pm Resident 1's physician's progress notes for his entire stay at the facility (11/13/23-9/11/24) were reviewed. The MRD verified there were no physician notes in the medical record after 2/8/24 and stated the physician should have made visits after that but he didn't (per the record review).

During a review of the facility's P&P titled Physician's Visits reviewed 1/25/25 indicated The Attending Physician must make visits in accordance with applicable state and federal regulations. 1. The Attending Physician will visit residents in a timely fashion, consistent with applicable state and federal requirements .

The Attending Physician must visit his/her patients at least once every thirty (30) days for the first ninety (90) days following the resident's admission, and then at least every sixty (60) days thereafter.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 2 555139

📋 Inspection Summary

MIRACLE MILE HEALTHCARE CENTER, LLC 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 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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