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Health Inspection

Western Convalescent Hospital

March 21, 2025 · Los Angeles, CA · 2190 W Adams Blvd
Citations 2
CMS Rating 1/5
Beds 129
Provider ID 555069
Healthcare Facility
Western Convalescent Hospital
Los Angeles, CA  ·  View full profile →
Inspection Summary

WESTERN CONVALESCENT HOSPITAL in LOS ANGELES, CA — inspection on March 21, 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

FF688
Minimal harm or on weekends, there should be one RNA staffed each day, and on weekdays there should be at least three to Some 3/16/2025, and 3/17/2025. The DSD stated the facility was short of CNA staff, and so many times the RNAs affected

During a review of the facility's 2/2025 and 3/2025 Nursing Staffing Assignment and Sign-in Sheet for Nurse Assistants, the Sign-in Sheet indicated the following RNA staff assignments for the 7 a.m. to 3:30 p.m. shift:

-2/28/2025: one (1) RNA

-3/3/2025: two (2) RNAs

-3/8/2025: zero (0) RNA

-3/16/2025: 0 RNA

-3/17/2025: 2 RNAs

During an interview on 3/19/2025 at 8:31 a.m., with Restorative Nursing Aide (RNA 1), RNA 1 stated sometimes she was reassigned from RNA duty to have certified nursing assistant (CNA) duties.

During an interview on 3/19/2025 at 9:23 a.m., with Restorative Nursing Aide (RNA 2), RNA 2 stated she sometimes was reassigned as a CNA and tried to see as many residents as possible for RNA after her CNA duties. RNA 2 stated if she had CNA assignments, then it was difficult to see all the residents for RNA.

555069

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 555069 B.

Wing 03/21/2025

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

Western Convalescent Hospital 2190 W Adams Blvd Los Angeles, CA 90018

During a review of Resident 15's care plan (CP) revised on 9/4/2023, the CP indicated Resident 15 had an alteration in joint mobility.

The CP goal indicated Resident 15 will minimize the risk for further ROM loss daily.

The CP interventions indicated to provide RNA program as ordered.

During a review of Resident 15's Minimum Data Set (MDS, a resident assessment tool) dated 2/6/2025, the MDS indicated Resident 15 required modified independence for daily decision making.

The MDS indicated Resident 15 had functional limitations in ROM on one side of the upper extremity (UE, shoulder, elbow, wrist/hand) and one side of the lower extremity (LE, hip, knee, ankle/foot).

The MDS indicated Resident 15 was independent in sit to lying and rolling left and right.

The MDS indicated Resident 15 required set up assistance for eating, and personal hygiene.

The MDS indicated Resident 15 required supervision assistance for dressing, sit and stand, and chair to bed transfers.

During a review of Resident 15's Order Summary Report (OSR) dated 3/19/2025, the OSR indicated the following orders:

-RNA to perform ambulation (walking) using hemi walker (type of walking support device used with one hand) with ankle foot orthosis (AFO, an orthotic device designed to correct or address problems with the ankle and foot) on RLE once a day five times a week or as tolerated ordered 12/5/2022.

-RNA to perform PROM to RUE in all places as tolerated five times a week ordered 2/6/2025.

-RNA program for application of right elbow splint for four hours or as tolerated seven times a week ordered 2/25/2025.

-RNA program for application of right resting hand splint for four hours or as tolerated seven times a week ordered 2/25/2025.

1) a.

During an observation on 3/19/2025 at 8:23 a.m., Resident 15 was sitting up in a wheelchair in the hallway. Resident 15 was wearing a right resting hand splint and a right elbow splint.

During an observation on 3/19/2025 at 2:06 p.m., Resident 15 was sitting up in a wheelchair and was wearing a right resting hand splint and a right elbow splint.

555069

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 555069 B.

Wing 03/21/2025

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

Western Convalescent Hospital 2190 W Adams Blvd Los Angeles, CA 90018

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


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