Overland Terrace Healthcare & Wellness Centre, Lp
OVERLAND TERRACE HEALTHCARE & WELLNESS CENTRE, LP in LOS ANGELES, CA — inspection on March 6, 2025.
Found 3 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.
Inspection Findings
During initial tour on 3/6/25 at 1:40 PM, rooms [ROOM NUMBERS] shared bathroom walls were observed dry hard brown smear was observed on the walls by the light switch and on the bedside BSC that was inside the residents bathroom.
During a concurrent observation and interview on 3/6/2025 at 1:43PM, Resident 17 was observed ambulating inside room [ROOM NUMBER]. Resident 17 stated the bathroom had poop (fecal matter) on the walls, and that housekeeping cleans the toilet and floor only every day.
During an interview on 3/6/25 at 1:49 PM, Director of Staff Development (DSD) stated housekeeping staff is responsible for cleaning the residents bathrooms. DSD stated the dried hard smear by the light switch, and the BSC was fecal matter. DSD stated the fecal matter on the walls and BSC placed Residents at risk of contamination with disease causing pathogens micro-organisms that can cause infection and does not reflect good hygiene of a safe, clean, sanitary homelike environment.
During a record review, the facility policy and procedures (P&P) titled Resident rooms and Environment dated 1/2025 indicated, the facility provides residents with a safe, clean, .
Facility staff aim . paying close attention to the following: Cleanliness and order .
During a record review, facility (P&P) titled infection control- Policies & Procedures dated 1/2025 indicated, the facility's infection control policies and procedures are intended to facilitate maintaining a safe, sanitary, and comfortable environment and to help prevent and manage transmission of diseased and infections.
055504
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 055504 B.
Wing 03/06/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Overland Terrace Healthcare & Wellness Centre, LP 3515 Overland Avenue Los Angeles, CA 90034
During a record review, Resident 71's admission record indicated was readmitted on [DATE], with a diagnoses of history of falling and unspecified Dementia (cause of dementia cannot be determined, often used when a person's cognitive decline is present).
During a record review, Resident 71's MDS- a resident assessment tool dated 2/8/2025, indicated Resident 71's cognition was moderately impaired.
The MDS further indicated Resident 71 needed moderate/maximum assistance with ADL (activities of daily living).
During a record review, Resident 71's History and Physical report dated 2/27/2025, indicated Resident 71 has a diagnosis of dementia and does not have the capacity to make medical decisions.
During a record review, Resident 71's SBAR form and progress notes dated 2/28/2025, indicated Resident 71 was found on the floor unwitnessed, breathing unlabored, verbally responsive, vital (blood pressure, temperature, pulse, respirations) stable. Resident 71 noted with skin open cut in left eyebrow, applied dressing, and cailed 911 to GACH, not on blood thinner, and family notified and MD (medical doctor).
055504
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 055504 B.
Wing 03/06/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Overland Terrace Healthcare & Wellness Centre, LP 3515 Overland Avenue Los Angeles, CA 90034
During initial tour on 3/6/25 at 1:40 PM, rooms [ROOM NUMBERS] shared bathroom walls were observed to have chipped paint, holes, dry hard brown smear was observed on the walls by the light switch and on the bedside BSC that was inside the residents bathroom.
During a concurrent observation and interview on 3/6/2025 at 1:43PM, Resident 17 was observed ambulating inside room [ROOM NUMBER]. Resident 17 stated the bathroom has chipped walls, and holes, there is poop (fecal matter) on the walls, and that housekeeping cleans the toilet and floor only every day.
During an interview on 3/6/25 at 1:49 PM, Director of Staff Development (DSD) stated housekeeping staff is responsible for cleaning the residents bathrooms. DSD stated the dried hard smear by the light switch, and the BSC was fecal matter. DSD stated the fecal matter on the walls and BSC placed Residents at risk of contamination with disease causing pathogens micro-organisms that can cause infection and does not reflect good hygiene of a safe, clean, sanitary homelike environment.
During a record review, the facility policy and procedures (P&P) titled Resident rooms and Environment dated 1/2025 indicated, the facility provides residents with a safe, clean, comfortable and homelike environment.
Facility staff aim to create a personalized, homelike atmosphere, paying close attention to the following: Cleanliness and order .
055504
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 055504 B.
Wing 03/06/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Overland Terrace Healthcare & Wellness Centre, LP 3515 Overland Avenue Los Angeles, CA 90034