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Health Inspection

Westwood Post Acute Care

April 4, 2025 · Los Angeles, CA · 12121 Santa Monica Boulevard
Citations 3
CMS Rating 1/5
Beds 93
Provider ID 055060
Healthcare Facility
Westwood Post Acute Care
Los Angeles, CA  ·  View full profile →
Inspection Summary

WESTWOOD POST ACUTE CARE in LOS ANGELES, CA — inspection on April 4, 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.

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Inspection Findings

FF584
Minimal harm or safe and operable mannerat all times. C. Maintaining the building in good repair and free from hazards. Few The facility provides residents with a safe, clean, comfortable, and homelike environment. affected

During a record review, Resident 64's Minimum Data Set (MDS- a resident assessment tool), dated 2/2/2024, indicated Resident 64 is cognitively intact (able to make decisions concerning care, alert to situation and oriented to place and time). Resident 64 is primarily independent and able to perform all his daily needs for living.

During an interview on 04/01/25 at 10:34 AM, Resident 64 stated, the Television (TV) is loose and looks like it might fall to the floor, it is also tilting to the right and will not stay in front so that it can be seen.

Also, the blinds are broken in various places, and it is bent in the middle because it is not attached to the hook that is in the middle of the frame.

Because of this, it looks like it may fall to the floor at any time.

During observation of Resident 64's room on 04/01/25 at 10:47 AM, the resident's room was clean, no unusual odor.

The TV in the Resident 64's room was tilted to the side and appeared to be loosely affixed to the wall by the television bracket.

The blinds on the room window were in disrepair and some of the slats were broken off, in addition to the top of the blinds being bent and not attached to the fixture on the wall.

During an interview with the Maintenance Supervisor (MS) on 04/01/25 at 11:09 AM, MS stated the TV has a loose screw and it tilts to the side, so all it will need is a bracket screw to stabilize it. MS stated the blinds in the room have broken slats and bent at the top, and that MS will order a new one (blinds) right away and install it (blinds) when it arrives at the facility.

During an interview on 04/03/25 at 12:33 PM, MS stated Resident 64's room has been repaired.

The blinds are new and the TV has been stabilized. MS stated he faucet (Resident 64's bathroom) will be fixed tomorrow (4/4/2025) to restore the hot water and the cold water flow so that it does not splash outside the sink any longer.

During an interview on 04/03/25 at 2:38 PM, the Administrator (ADM) stated he is aware of the repairs that have been done in Resident 64's room.

055060

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 055060 B.

Wing 04/04/2025

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

Westwood Post Acute Care 12121 Santa Monica Boulevard Los Angeles, CA 90025

During a record review, the hospice (a type of care focused on comfort, quality of life, and symptom management for individuals with a terminal illness) contract for Resident 48 dated 2/14/2025, indicated:

Article ll.

Hospice Admission:

Section 7.4 indicated because hospice and facility will work together to care for the same patients and will share integrated systems of quality assessment these entities will function together as an organized health care arrangement (OHCA) for purposes of complying with the Health Insurance Portability and Accountability Act of 1996 standards for privacy of individually identifiable Health Information (HIPPA privacy standards).

Both parties also agree to comply with all other applicable federal, state, and local laws and regulations that protect the privacy and confidentiality of medical records and patient health and financial information.

During a record review, Resident 48's Minimum Data Set (MDS - a resident assessment tool) dated 3/3/2025, indicated the resident 48's cognition (The mental ability to make decision of daily living) was intact.

The MDS indicated Resident 48 required setup for eating, required Partial/moderate assistance with oral hygiene, and completely dependent on staff for toileting, upper and lower dressing, putting on/taking off footwear, and for personal hygiene.

During a record review, Resident 48's History and Physical (H&P) dated 3/15/2025, indicated Resident 48 had the capacity to understand and make medical decisions.

During a record review, Resident 48's Discharge Summary dated 3/10/2025, indicated the plan of care was discussed with the patient and the nursing staff.

055060

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 055060 B.

Wing 04/04/2025

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

Westwood Post Acute Care 12121 Santa Monica Boulevard Los Angeles, CA 90025

During a record review, Resident 64's Minimum Data Set (MDS- a resident assessment tool), dated 2/2/2024, indicated Resident 64 is cognitively intact (able to make decisions concerning care, alert to situation and oriented to place and time). Resident 64 is primarily independent and able to perform all his daily needs for living.

During an interview on 04/01/25 at 10:34 AM Resident 64 stated there is no hot water in the resident's room.

The resident stated, the hot water is not coming out, it takes over ten minutes in the morning for it to even get warm, and it just dribbles out of the faucet after that.

The cold water comes out of the faucet at an odd angle, and it splashes all over you when you turn it on. Resident 64 stated, the Television (TV) is loose and looks like it might fall to the floor, it is also tilting to the right and will not stay in front so that it can be seen.

Also, the blinds are broken in various places, and it is bent in the middle because it is not attached to the hook that is in the middle of the frame.

Because of this, it looks like it may fall to the floor at any time.

During observation of Resident 64's room on 04/01/25 at 10:47 AM, the resident's room was clean, no unusual odor.

The TV in the Resident 64's room was tilted to the side and appeared to be loosely affixed to the wall by the television bracket.

The blinds on the room window were in disrepair and some of the slats were broken off, in addition to the top of the blinds being bent and not attached to the fixture on the wall.

Additionally, in the restroom, thehot water when turned on did not get hot, and the cold water when turned on sprays, and splashed the person in front of the sink and onto the floor.

055060

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 055060 B.

Wing 04/04/2025

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

Westwood Post Acute Care 12121 Santa Monica Boulevard Los Angeles, CA 90025

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 WESTWOOD POST ACUTE CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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