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Complaint Investigation

Skyline Healthcare Center - La

April 1, 2025 · Los Angeles, CA · 3032 Rowena Ave
Citations 1
CMS Rating 1/5
Beds 99
Provider ID 555117
Healthcare Facility
Skyline Healthcare Center - La
Los Angeles, CA  ·  View full profile →
Inspection Summary

SKYLINE HEALTHCARE CENTER - LA in LOS ANGELES, CA — inspection on April 1, 2025.

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.

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Inspection Findings

FF600
Minimal harm or Resident 1 got from Resident 2 who scratched Resident 1 ' s right lower foot. Few Resident 1 ' s Physician/Medical Doctor (MD) 1 ordered to clean Resident 1 ' s right foot red line scratched affected

During a review of Resident 1 ' s Admission Record (AR), the AR indicated the facility admitted Resident 1 on 2/12/2025 with diagnoses including parkinsonism (a broad term that refers to brain conditions that caused slowed movements, rigidity [stiffness], and tremors), quadriplegia (a severe medical condition characterized by the partial or total loss of function in all four limbs [arms and legs] and the torso [the main part of the body that contains the chest, abdomen, pelvis, and back), and depression (a persistent state of sadness and loss of interest that can significantly affect how you feel, think, and behave, making it hard to enjoy life or carry out daily activities).

During a review of Resident 1 ' s Minimum Data Set (MDS - a resident assessment tool) dated 2/16/2025, the MDS indicated Resident 1 had intact cognition (refers to the mental processes involved in knowing, learning, and understanding).

The MDS indicated Resident 1 was dependent (helper does all the effort and resident does none of the effort to complete the activity) with toileting hygiene, and shower.

During a review of Resident 1 ' s Change in Condition (COC- when there is a sudden change in a resident ' s condition) Evaluation, dated 3/21/2025 at 7:50 a.m., the COC Evaluation indicated Resident 1 stated Resident 2, a roommate, scratched Resident 1 ' s right lower foot while Resident 2, seated on Resident 2 ' s wheelchair 1 while being wheeled out of Residents 1 and 2 ' s room by a staff member (name not indicated).

The COC Evaluation indicated there was a noted red line (no other descriptions indicated) in Resident 1 ' s right lower foot and staff (LVN 2) cleaned the skin area (the skin area with the red line).

555117

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 555117 B.

Wing 04/01/2025

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

Skyline Healthcare Center - LA 3032 Rowena Ave Los Angeles, CA 90039

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 SKYLINE HEALTHCARE CENTER - LA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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