Sharon Care Center
SHARON CARE CENTER in LOS ANGELES, CA — inspection on March 12, 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.
Inspection Findings
During a review of the admission record for Resident 3 indicated Resident 3 was initially admitted to the facility on [DATE] and was readmitted on [DATE] with diagnoses including metabolic encephalopathy (a brain dysfunction caused by underlying conditions affecting the body's metabolism, leading to impaired brain function and potentially symptoms like confusion, memory loss, or coma), schizophrenia (a mental illness that is characterized by disturbances in thought), and major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest).
During a review of the Minimum Data Set (MDS - a resident assessment tool) dated 12/18/2024, indicated Resident 1 had moderate cognitive impairment (a stage of cognitive decline that affects short-term memory and the ability to complete complex tasks).
The same MDS indicated Resident 1 had feelings of feeling down, depressed, hopeless, and feeling bad about herself/she was a failure/let herself or family down seven to 11 days. Resident 1 ' s MDS indicated, Resident 1 required between supervision or touching assistance and partial/moderate assistance for all Activities of Daily Living such as: (ADLs- routine tasks/activities such as eating, oral hygiene, toileting hygiene, personal hygiene, lower/upper body dressing, putting on/taking off footwear).
During a review of Resident 1 ' s care plan titled Focus: Resident 1 exhibits verbal behaviors aeb (as evidenced by) yelling at staff and becoming physical with staff members related to: Cognitive loss/Dementia, Psychiatric Disorder(s): Schizophrenia, mood disorder dated 12/10/2024, indicated approaches for staff to evaluate the nature and circumstances (i.e., triggers) of the [verbal behavior] with resident/patient and/or resident representative.
Remove resident/patient from environment, if needed.
Gently guide the resident from the environment while speaking in a calm, reassuring voice.
055755
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 055755 B.
Wing 03/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Sharon Care Center 8167 West Third St.
Los Angeles, CA 90048
During a review of the Minimum Data Set (MDS - a resident assessment tool) dated 12/18/2024, indicated Resident 1 had moderate cognitive impairment (a stage of cognitive decline that affects short-term memory and the ability to complete complex tasks).
The same MDS indicated Resident 1 had feelings of feeling down, depressed, hopeless, and feeling bad about herself/she was a failure/let herself or family down seven to 11 days. Resident 1 ' s MDS indicated, Resident 1 required between supervision or touching assistance and partial/moderate assistance for all Activities of Daily Living such as: (ADLs- routine tasks/activities such as eating, oral hygiene, toileting hygiene, personal hygiene, lower/upper body dressing, putting on/taking off footwear).
During a review of Resident 1 ' s Situation Background Assessment and Recommendation (SBAR: a form that is a documentation of a complete assessment in response to a change in condition) form dated 1/14/2025 at 11:13 pm, indicated Resident 1 had a change in condition (COC, a sudden clinically important decline from a patient's baseline in physical, cognitive, behavioral, or functional abilities) behavioral symptoms identified as verbal aggression.
The SBAR indicated, Patient (Resident 1) became increasingly agitated because she wanted her medication scheduled to be changed from 2100 to 19:30 (9pm to 7:30 pm) Patient (Resident 1) stated, I will pull your hair if you don't give me the medication.
The same SBAR indicated that the physician was not yet informed about the COC.
During a review of Resident 1 ' s SBAR dated 3/3/2025 at 6:30 pm indicated, Resident 1 had alleged that her (Resident 1) roommate said inappropriate comments.
The SBAR indicated, Patient (Resident 1) get agitated often or behavioral changes happens frequently, she create situation to be getting extra attention.
The SBAR did not include any recommendations from the physician
055755
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 055755 B.
Wing 03/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Sharon Care Center 8167 West Third St.
Los Angeles, CA 90048