University Park Healthcare Center
UNIVERSITY PARK HEALTHCARE CENTER in LOS ANGELES, CA — inspection on February 13, 2025.
Found 3 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 concurrent interview and record review on 2/14/2025 at 10:12 AM, the Social Services Director (SSD) stated, currently the facility had 13 residents who were being represented by the Bioethics Committee.
The SSD stated upon admission, quarterly, or as needed, the SSD would assess whether a resident was able to make decisions for themselves.
The SSD stated when residents were identified as having severe cognitive impairment and did not have a representative to make decisions, the SSD would inform the Bioethics Committee, and the Bioethics committee would then have a meeting to determine if the resident's care would be managed by the facility's Bioethics Committee.
The SSD stated an application for conservatorship from the state was then submitted and that there was no specific timeline on the process for conservatorship.
The SSD stated a form called the Bioethics Committee Meeting Minutes was the form the facility used to indicate the concerns to be discussed, summary of discussion, and outcome.
A review of 12 additional residents (Residents 84, 27, 25, 3, 20, 28, 41, 12, 11, 86, 48, and 2) were represented by the facility's Bioethics committee.
A review of the facilities policy and procedure (P&P) titled, Resident Representative, reviewed 1/16/2025, indicated the term resident representative was defined as:
-an individual chosen by the resident to act on behalf of the resident to support the resident in decision-making; access medical, social, or other personal information of the resident; manage financial matters; or receive notifications.
-a person authorized by state or federal law (including but not limited to agents under power of attorney, representative payees, and other fiduciaries) to act on behalf of the resident in order to support the resident in decision-making; access medical, social or other personal information of the resident; manage financial matters; or receive notifications.
-legal representative, as used in section 712 of the Older Americans Act and the court-appointed guardian or conservator of a resident.
056206
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 056206 B.
Wing 02/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
University Park Healthcare Center 230 E Adams Blvd Los Angeles, CA 90011
During a concurrent interview and record review on 2/12/2025 at 1:57 PM with the Director of Nursing (DON), reviewed Resident's 77, 53, 341, 32, 62, 21, and 19 MAR with the DON.
Reviewed the vital signs taken on 2/8/2025 through 2/11/2025 for the 3:00 PM-11:30 PM and the 11:00 PM-7:30 AM shift for Resident's 77, 53, 341, 32, 62, 21, and 19.
The DON stated that she could not consider the vital sign documentation for Resident 77, 53,341, 32, 62, 21, and 19 as falsification of records because it was not her assessment.
However, DON agreed that the vital sign records from 2/8/2025 through 2/11/2025 on the 3:00 PM-11:30 PM and 11:00 PM-7:30 AM shift for Resident's 77, 53, 341, 32, 62, 21, and 19 were the same.
056206
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 056206 B.
Wing 02/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
University Park Healthcare Center 230 E Adams Blvd Los Angeles, CA 90011
During a review of Resident 48's Minimum Data Set (MDS, a resident assessment tool) dated 9/1/24, the MDS indicated Resident 48 had severe cognitive impairments (problems thinking, remembering, judging, problem-solving).
The MDS indicated Resident 48 did not exhibit any behavior for rejection of care that was necessary to achieve health and well-being.
The MDS also indicated Resident 48 required substantial/maximal assistance from staff for oral hygiene, bathing, dressing, personal hygiene, sit to stand, and bed to chair transfers.
The MDS indicated Resident 48 had functional range of motion (ROM, full movement potential of a joint) impairments on one side of the upper extremity (UE, shoulder, elbow, wrist, hand) and impairments on one side of the lower extremity (LE, hip, knee, ankle, foot).
During a review of Resident 48's Care Plan (CP) initiated on 9/15/22 and revised on 2/11/25, the CP indicated Resident 48 had the potential for limitations in joint mobility related to decreased physical mobility, history of cerebrovascular accident (CVA-stroke, loss of blood flow to a part of the brain), osteoporosis (weak and brittle bones) and osteoarthritis (a progressive disorder of the joints, caused by a gradual loss of cartilage).
The CP goal indicated Resident 48 will have no further loss of ROM daily for three (3) months.
The CP interventions indicated to monitor for pain or stiffness, position resident to prevent further contractures with pillow or splint as needed, RNA to perform passive range of motion (PROM, movement at a given joint with full assistance from another person) to left UE (LUE) in all places as tolerated 5 times a week, RNA to apply left resting hand splint (rigid material or apparatus used to support and immobilize a broken bone or impaired joint) for one to six (1-6) hours or as tolerated 5 times a week.
056206
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 056206 B.
Wing 02/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
University Park Healthcare Center 230 E Adams Blvd Los Angeles, CA 90011