Olympia Convalescent Hospital
Olympia Convalescent Hospital in LOS ANGELES, CA — inspection on April 24, 2026.
Found 1 citation. 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.
Inspection Findings
During an interview on [DATE] at 12:47 p.m., Registered Nurse
jeopardy to resident health or after the resident stated that he wanted to go home. RN 2 further stated that on that date, the facility safety determined that Resident 1 required a Wanderguard. RN 2 stated that several CNAs (names not recalled) and an RNA (name not recalled) monitored Resident 1 on a oneˆtoˆone (1:1) basis during the
Wanderguard device was applied to Resident 1 on [DATE] morning. RN 2 also stated that the sliding doors in Resident 1's room did not have alarms connected to the Wanderguard system (is a specialized electronic security solution used in hospitals, nursing homes, and memory care facilities to prevent residents with cognitive impairments from wandering away from safe areas) and therefore would not alert staff if the resident attempted to exit through that door. RN 2 further stated that no alarms sounded to alert staff when Resident 1 eloped on [DATE].
During a phone interview on [DATE] at 2:14 p.m., Registered Nurse Supervisor (RN) 1 stated she received report from GACH 1 on [DATE] regarding Resident 1, and GACH 1 informed her that the resident was an elopement risk. RN 1 stated that Resident 1 walked very well without a mobility device and liked to wander around the facility.
She stated that Resident 1 would enter other residents' rooms and sit in a chair next to their beds. RN 1 stated that at some point on [DATE], Resident 1 exited through the back door onto the facility's patio, and a CNA brought the resident back inside. RN 1 further stated that on another occasion on that day ([DATE], time not recalled), Resident 1 exited the facility, and she and another nurse (name not recalled) brought the resident back inside. RN 1 also stated she contacted Family Member (FM) 1 and asked whether FM 1 or another family member could come to the facility to stay with Resident 1 due to the resident's agitation.
During an observation and interview on [DATE] at 2:17 p.m. with Maintenance Supervisor (MS) 1, MS 1 stated that Resident Rooms 126, 128, 130, 132, 134, 136, and 138 had sliding doors and screens that did not have alarms and provided access to the outside patio located at the back of the facility. MS 1 stated that the facility's outside patio had two exits leading to two public streets, [NAME] Avenue and [NAME] Street. MS 1 further stated that the two gates leading from the patio could be opened from the inside but not from the outside.
During an interview on [DATE] at 2:47 p.m., RN 3 stated that on [DATE] (time not recalled), she received a call from GACH 2 informing her that an unidentified individual had found Resident 1 on a street (name of street not recalled). RN 3 stated that GACH 2 requested that Resident 1's face sheet and order summary be faxed to them. RN 3 further stated that GACH 2 informed her that Resident 1 would be transferred to GACH 3 because the resident had sustained burns.
During an interview on [DATE] at 9:41 a.m., CNA 1 stated he had heard from staff (unable to recall who) that Resident 1 was ambulatory and had an elopement risk. CNA 1 stated that on [DATE] morning, no CNA was assigned specifically to monitor Resident 1 for safety or to prevent wandering or elopement. CNA 1 stated that RN 2 instructed him to check on Resident 1. CNA 1 reported that he went to the resident's room and observed Resident 1 ambulating inside the room. CNA 1 stated he asked Resident 1 to sit on the bed and then brought the resident's breakfast tray, placing it on the bedside table. CNA 1 stated he left Resident 1 seated on the bed and was away from the room for about 10 minutes.
When he returned, Resident 1 was standing in the room. CNA 1 stated the resident went into the restroom and changed clothes, switching from short pants to long pants. CNA 1 stated he directed Resident 1 to sit back on the bed and encouraged him to eat breakfast, noting that the resident appeared fine and smiled at him.
CNA 1 stated that the last time he saw Resident 1 was at 7:50 a.m., on [DATE]. CNA 1 further stated that he then proceeded to attend the facility's staff huddle (A quick, informal meeting where people gather closely to share updates or plan something) at Nursing Station 1 at approximately 8:15 a.m. on [DATE], and that the huddle lasted about 20 minutes.
During an interview on [DATE] at 10:27 a.m., CNA 2 stated that she ar[TRUNCATED]
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.