Skip to main content
Complaint Investigation

Temple Park Convalescent Hospital

August 9, 2024 · Los Angeles, CA · 2411 W. Temple Street
Citations 2
CMS Rating 2/5
Beds 99
Provider ID 555019
Healthcare Facility
Temple Park Convalescent Hospital
Los Angeles, CA  ·  View full profile →
Inspection Summary

TEMPLE PARK CONVALESCENT HOSPITAL in LOS ANGELES, CA — inspection on August 9, 2024.

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.

Advertisement

Inspection Findings

FF609
Minimal harm or body) following cerebral infarction (lack of blood flow resulting in severe damage to some of the brain tissue) Few affected

During a review of Resident 3's admission record indicated the resident was admitted to the facility on [DATE] with diagnoses that included hepatic encephalopathy (a serious and potentially reversible condition that can affect individuals with advanced liver dysfunction), alcoholic cirrhosis of the liver (a condition that occurs when the liver is permanently damaged by alcohol, causing scar tissue to replace healthy tissue), and insomnia (a common sleep disorder that makes it difficult to fall asleep, stay asleep, or get quality sleep).

During a review of Resident 3's Minimum Data Set (MDS, a standardized assessment and care screening tool) dated 6/24/2024 indicated Resident 3 was cognitively (the mental ability to understand and make decisions of daily living) intact.

The MDS indicated Resident 3 required between partial moderate assistance to setup or clean up assistance for Activities of Daily Living (ADL-eating, oral hygiene, toilet hygiene, shower/bathe, upper/lower body dressing, and personal hygiene).

During a review of Resident 3's history and physical (H&P) dated 6/26/2024 indicated Resident 3 had the capacity to consent.

During a review of a Situation, Background, Assessment, and Recommendation (a communication tool used in nursing to help healthcare teams explain a patient's condition to each other) dated 8/4/2024 at 10:59 pm, indicated, Resident stated that he was hit with a stick by his roommate (Resident 4) and sustained right arm skin tear and discoloration, able to move right arm with no difficulty.

Per resident (Resident 3) roommate (Resident 4) accused him of stealing his money on the atm card (Automated Teller Machine card, is a PIN-based card issued by a bank that allows account holders to access their funds at ATMs). 911 was called.

During a review of Resident 3 ' s document titled Alert Charting dated 8/5/2024 at 11:52 am indicated, Resident 3 sustained a skin tear from an incident last night.

Resident denies pain or discomfort related to the skin tear.

555019

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 555019 B.

Wing 08/09/2024

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

Temple Park Convalescent Hospital 2411 W.

Temple Street Los Angeles, CA 90026

During a review of Resident 3's admission record indicated the resident was admitted to the facility on [DATE] with diagnoses that included hepatic encephalopathy (a serious and potentially reversible condition that can affect individuals with advanced liver dysfunction), alcoholic cirrhosis of the liver (a condition that occurs when the liver is permanently damaged by alcohol, causing scar tissue to replace healthy tissue), and insomnia (a common sleep disorder that makes it difficult to fall asleep, stay asleep, or get quality sleep).

During a review of Resident 3's Minimum Data Set (MDS, a standardized assessment and care screening tool) dated 6/24/2024 indicated Resident 3 was cognitively (the mental ability to understand and make decisions of daily living) intact.

The MDS indicated Resident 3 required between partial moderate assistance to setup or clean up assistance for Activities of Daily Living (ADL-eating, oral hygiene, toilet hygiene, shower/bathe, upper/lower body dressing, and personal hygiene).

During a review of Resident 3's history and physical (H&P) dated 6/26/2024 indicated Resident 3 had the capacity to consent.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

555019

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 555019 B.

Wing 08/09/2024

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

Temple Park Convalescent Hospital 2411 W.

Temple Street Los Angeles, CA 90026

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 TEMPLE PARK CONVALESCENT HOSPITAL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement