Olympia Convalescent Hospital
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
found Resident 1 lying in bed with the resident's feet dangling on the left edge of the bed. RN 1 stated she noticed Resident 1 had redness and slight swelling to the left lower leg. RN 1 stated she knows and understands the word pain in Resident 1's primary language, Resident 1 said pain. RN 1 stated she performed a full body assessment on Resident 1, notified doctor, received and carried out stat orders including x-rays, and gave Resident 1 Tylenol for pain. RN 1 stated the x-ray results indicated fractures to
the left lower leg, and she immediately notified the physician of the x-ray results. RN 1 stated the physician gave an order to transfer Resident 1 to GACH for higher level of care.??RN 1 stated Resident 1 was transferred to acute care on 7/26/2025 at 3:04 pm. During an interview on 8/12/2025 at 12:20 pm, Director of Staff Development (DSD) stated Resident 1 was totally dependent (requiring full reliance on caregivers for basic needs like mobility, hygiene, and feeding) on staff for care and the resident required 2-person assist with a Hoyer lift for transfers which is in accordance with the facility policy to safely transfer residents.
During an interview on 8/12/2025 at 3:30 pm, Director of Staffing (DON) stated Resident 1's injuries were preventable if the staff utilized an assistive device (Hoyer lift) to safely transfer Resident 1 from shower chair to the bed. During a record review, the facility policy and procedures (P&P) titled Transfer of Residents reviewed on 1/24/2025, indicated, a mechanical lift is used on any resident unable to independently pivot (to turn or rotate) or transfer. The P&P titled indicated, Purpose: To provide the form of transfer best suited to the residents' needs and maintain resident safety during the procedure. One person pivot transfer (Resident must be able to bear weight. Make sure the resident's feet are on the floor
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Olympia Convalescent Hospital in LOS ANGELES, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Olympia Convalescent Hospital or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.