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Health Inspection

The Rehabilitation Center On Pico

February 27, 2025 · Los Angeles, CA · 3233 W. Pico Boulevard
Citations 2
CMS Rating 2/5
Beds 99
Provider ID 056377
Healthcare Facility
The Rehabilitation Center On Pico
Los Angeles, CA  ·  View full profile →
Inspection Summary

THE REHABILITATION CENTER ON PICO in LOS ANGELES, CA — inspection on February 27, 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.

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Inspection Findings

FF759
Immediate and hemiparesis (a mild or partial weakness or loss of strength on one side of the body) following cerebral Many affected

During a review of Resident 50's Minimum Data Set (MDS - a resident assessment tool) dated 9/26/24, the MDS indicated Resident 50's cognitive skills (mental activities including thinking, reasoning, understanding, learning, and remembering) for daily decision-making was moderately impaired. Resident 50's MDS indicated the resident required setup for eating and oral hygiene, required substantial assistance for personal hygiene and was dependent on staff physical assistance.

During a review of Resident 50's History and physical (H&P) dated 2/29/2024, the H&P indicated Resident 50 had the capacity to understand and make decisions.

During a review of Resident 50's Order Summary Report, the Order Summary Report indicated Resident 50's orders included:

-Apixaban (Eliquis, an anticoagulant, a blood thinner) 5 (five) milligrams (mg - unit of measure of weight) give one tablet by mouth every 12 hours, scheduled at 9 a.m., and 9 p.m., for AF, order date 4/26/2023.

-Amlodipine (Norvasc, a medication used to treat high blood pressure) 5 mg, give one tablet by mouth one time a day, scheduled at 9 a.m., for hypertension, hold if systolic blood pressure (SBP, when the heart beats, top number) is less than 110 millimeters of mercury [mm Hg]), (mmHg - unit of measure), order date 8/28/2024.

-Aspirin Enteric Coated (EC) 81 mg, give one tablet by mouth one time a day, scheduled at 9 a.m., for myocardial infarction (MI, also known as a heart attack, occurs when blood flow to the heart is blocked) prophylactically (PPX, measures designed to preserve health), order date 6/17/2020.

During a review of Resident 50's, Care Plans, the care plans for Resident 50 indicated the following:

-Black Box Warning (is a serious warning given by the Food and Drug Administration [FDA] for drugs or drug classes that may cause serious harm or death) for use of Apixaban (Eliquis), dated 3/27/2020. Resident 50's care plan goal indicated; the resident will not experience side effects/ interactions with the use of Apixaban (Eliquis).

-Anticoagulant therapy, Apixaban for atrial fibrillation, at risk for active bleeding, revised 2/6/2025. Resident 50's care plan intervention indicated give Apixaban 5 mg by mouth every 12 hours for AF.

Resident/family/caregiver teaching to include the following: take/give medication at the same time each day.

056377

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 056377 B.

Wing 02/27/2025

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

The Rehabilitation Center on Pico 3233 W.

Pico Boulevard Los Angeles, CA 90019

During a review of the Minimum Data Set (MDS - a resident assessment tool) dated 9/26/24 the MDS indicated Resident 50's cognitive skills (mental activities including thinking, reasoning, understanding, learning, and remembering) for daily decision-making was moderately impaired. Resident 50's MDS indicated the resident required setup for eating and oral hygiene, required substantial assistance for personal hygiene and was dependent on staff physical assistance for bathing or showering, dressing, getting in and out of bed or a wheelchair, and toileting.

During a review of the History and Physical (H&P) dated 2/29/2024 the H&P indicated Resident 50 had the capacity to understand and make decisions.

A review of Resident 50's Order Summary Report indicated:

-Apixaban (Eliquis, an anticoagulant, a blood thinner) 5 (five) milligrams (mg - unit of measure of weight) give one tablet by mouth every 12 hours, scheduled at 9 a.m., and 9 p.m., for AF, order date 4/26/2023.

056377

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 056377 B.

Wing 02/27/2025

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

The Rehabilitation Center on Pico 3233 W.

Pico Boulevard Los Angeles, CA 90019

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 THE REHABILITATION CENTER ON PICO or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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