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Complaint Investigation

New Vista Post-acute Care Center

May 16, 2025 · Los Angeles, CA · 1516 Sawtelle Blvd.
Citations 2
CMS Rating 2/5
Beds 116
Provider ID 055473
Healthcare Facility
New Vista Post-acute Care Center
Los Angeles, CA  ·  View full profile →
Inspection Summary

NEW VISTA POST-ACUTE CARE CENTER in LOS ANGELES, CA — inspection on May 16, 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

FF726
Minimal harm or Few neuropathy affected

During a review of the admission record for Resident 4 indicated Resident 4 was initially admitted to the facility on [DATE] and was readmitted on [DATE] with diagnoses including schizophrenia (a mental illness that is characterized by disturbances in thought), hypertension (HTN-high blood pressure), and dysphagia (difficulty swallowing).

During a review of Resident 4's history and physical (a term used to describe a physician's examination of a patient) for Resident 4 dated 5/9/2025 indicated, Resident 4 did not have the capacity for medical decision making.

During a review of Resident 4's Minimum Data Set (MDS - a resident assessment tool) dated 2/14/2025, indicated Resident 4 had moderate cognitive impairment (a noticeable decline in thinking skills that significantly impacts daily life, making it harder to perform everyday tasks and manage finances, among other things).

The same MDS indicated Resident 4 required between setup or clean-up assistance and substantial/maximum assistance for her Activities of Daily Living such as: (ADLs routine tasks/activities such as eating, oral hygiene, toileting hygiene, shower/bathe self, personal hygiene, lower/upper body dressing, putting on/taking off footwear).

During a review of Resident 4 ' s Medication Administration Record (MAR- a report that serves as a legal record of all medications administered to a patient by a healthcare professional) for 5/2025 indicated the following medications were administered to Resident 4 on 5/15/2025:

- Aripiprazole (Abilify-is an atypical antipsychotic medication used to treat a variety of mental health conditions) 5 mg (milligrams) tablet 1-tab (tablet) po (by mouth) daily for psychosis m/b (manifested by) agitation aeb (as evidenced by) trying to hit staff during care.

055473

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 055473 B.

Wing 05/16/2025

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

New Vista Post-Acute Care Center 1516 Sawtelle Blvd.

Los Angeles, CA 90025

During a review of Resident 5 ' s Minimum Data Set (MDS - a resident assessment tool) dated 1/30/2025, indicated Resident 5 had severe cognitive impairment (a noticeable decline in thinking skills that significantly impacts daily life, making it harder to perform everyday tasks and manage finances, among other things).

The same MDS indicated Resident 5 was dependent for her Activities of Daily Living such as: (ADLs routine tasks/activities such as eating, oral hygiene, toileting hygiene, shower/bathe self, personal hygiene, lower/upper body dressing, putting on/taking off footwear).

During a concurrent observation and interview with CNA 1 on 5/15/2025 at 11:14 am, CNA 1 was observed changing Resident 5 ' s incontinence diaper in Resident 5 ' s room which she shared with two other residents with the privacy curtain open. Resident 5 resident ' s diaper was completely off, and her private parts completely exposed. CNA 1 was unable to verbalize the importance of keeping the privacy curtain closed while performing personal care for Resident 5 and stated, write down how you think is a good way on a piece of paper and give it to me! CNA 1 spoke over this surveyor with clenched fists, bent elbows, puffed up chest and walked towards this surveyor in a loud voice. LVN 3 was present and confirmed the observation and interview.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

055473

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 055473 B.

Wing 05/16/2025

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

New Vista Post-Acute Care Center 1516 Sawtelle Blvd.

Los Angeles, CA 90025

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 NEW VISTA POST-ACUTE CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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