Sunray Healthcare Center
SUNRAY HEALTHCARE CENTER in LOS ANGELES, CA — inspection on April 24, 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.
Inspection Findings
During a review of Resident 80's Minimum Data Set (MDS - a resident assessment tool) dated 3/27/2025 indicated the resident's cognition (mental action or process of acquiring knowledge and understanding) was intact and the resident required between moderate to totally dependent on staff for activities of daily living (ADLs - basic tasks that must be accomplished every day for an individual to thrive).
During a medication pass observation on 4/21/2025, between 11:33 AM to 12:14 PM for Resident 80, with Licensed Vocational Nurse (LVN) 2, LVN 2 was observed preparing and administering one tablet of Amlodipine 5 mg crushed, dissolved in water and given through a G-tube to the resident. LVN 2 was not observed checking Resident 80's BP prior to the administration of the BP medication.
During an interview on 4/21/2025 at 12:20 PM, LVN 2 stated there was a timeframe to give medications and Resident 80's scheduled 9 AM medications was to be administered by 10 AM. LVN 2 stated, I have not notified my supervisor that I was running behind, and I have not called or informed the doctor yet. LVN 2 stated the Registered Nurse Practitioner (NP 1) was at the facility and had not been notified.
During an interview on 4/21/2025 at 12:39 PM, LVN 2 stated she checked Resident 80's BP at 8:04 AM, on 4/21/2025 at the start of her shift, but had not checked Resident 80's BP before administering the resident's BP medication, Amlodipine at 12:19 PM (four hours later).
A review of Resident 80's April 2025 Physician's Order Summary Report indicated:
-Amlodipine Oral Tablet 5 mg, dated 12/23/2024, give one tablet via G-Tube one time a day (scheduled administration at 9 AM) for hypertension.
Hold for systolic blood pressure (SBP, when the heart contracts and pumps blood) less than 110 millimeters of mercury (mmHg) or heart rate (HR, the number of times the heart beats per minute [bpm]) less than 60 bpm.
-Metoprolol Tartrate 50 mg, dated 12/23/2024, give one tablet via G-tube every eight hours (scheduled administration at 6 AM, 2 PM, and 10 PM) for HTN.
Hold for SBP less than 110 mm Hg or HR less than 60 bpm.
During a review of Resident 80's Medication Administration Audit Report dated between 4/7/2025 to 4/21/2025, indicated the resident was administered Amlodipine scheduled daily at 9 AM late on a total of six occasions as follow:
4/12/25 scheduled at 9 am, documented administered at 11:06 am
4/13/25 scheduled at 9 am, documented administered at 12:58 pm
4/14/25 scheduled at 9 am, documented administered at 11:16 am
055870
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 055870 B.
Wing 04/24/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Sunray Healthcare Center 3210 W Pico Blvd Los Angeles, CA 90019