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Complaint Investigation

University Park Healthcare Center

Inspection Date: August 28, 2025
Total Violations 1
Facility ID 056206
Location LOS ANGELES, CA
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation, interview, and record review, the facility failed to provide comfortable room temperature for one of four sampled residents (Resident 1). For Resident 1, the facility failed to ensure Resident 1's room had a room temperature between 71 degrees (?) Fahrenheit (F, measurement of temperature) to 81 ? F. Resident 1's room had a room temperature of 84 ? F on 8/28/25.This deficient practice resulted in Resident 1 stating his room .gets hot and stated he felt uncomfortable. During a review of the admission Record indicated the facility admitted Resident 1 on 6/5/21 and re-admitted on [DATE REDACTED] with diagnoses including end stage renal disease (kidneys [body organ that remove waste and balance body's fluids] no longer work to meet the body's needs) and depression. During a review of the Minimum Data Set (MDS, a resident assessment tool) dated 6/1/25 indicated Resident 1 was cognitively intact. Resident 1 needed moderate assistance (helper does less than the effort) with toileting hygiene, shower/bathe, lower body dressing, putting on/taking off footwear, supervision with upper body dressing, personal hygiene and set-up with eating and oral hygiene. During an interview on 8/28/25 at 12:10 p.m. Resident 1 stated his room's temperature .gets hot and uncomfortable. Resident 1 stated he uses the electric fan but .it helps a little bit. to cool down the room temperature. During observation and concurrent interview on 8/28/25 at 12:39 p.m. the room temperature was measured by the maintenance supervisor (MS) using the facility's infrared thermometer.

The following residents' rooms have the following temperature:room [ROOM NUMBER] - 84 ?F room [ROOM NUMBER] (where Resident 1 lives) - 84? [NAME] 106 - 84? [NAME] 105 - 84?F During concurrent

interview on 8/28/25 at 12:39 p.m., the MS stated the residents' room temperature should be between 71? F to 81? F. During a review of the facility's policy and procedures (P&P) titled Homelike Environment reviewed on 1/16/25, the P&P indicated residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible. The facility staff and management maximize to the extent possible the characteristics of the facility that reflect a personalized, homelike setting. These characteristics included comfortable and safe temperature (71? F to 81 ? F.)

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 REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

UNIVERSITY PARK HEALTHCARE CENTER in LOS ANGELES, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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