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Complaint Investigation

Ararat Nursing Facility

June 14, 2024 · Mission Hills, CA · 15099 Mission Hills Road
Citations 2
CMS Rating 1/5
Beds 254
Provider ID 555579
Healthcare Facility
Ararat Nursing Facility
Mission Hills, CA  ·  View full profile →
Inspection Summary

Ararat Nursing Facility in MISSION HILLS, CA — inspection on June 14, 2024.

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

FF600
Immediate further treatment and evaluation status post (after) fall. Few forehead extending to glabella (area of skin between the eyebrows and above the nose) and nasal bridge affected

F-F600.

Findings:

A review of Resident 1's Admission Record indicated the facility admitted Resident 1 on 7/9/2021 with diagnoses including parkinsonism, Alzheimer's disease (a brain disorder affecting memory and thinking skills that worsens over time), dementia (loss of thinking or remembering affecting daily life), and age-related osteoporosis (loss of bone mass with increasing risk for bone breakage).

A review of Resident 1's Minimum Data Set (MDS - a standardized assessment and care screening tool), dated 5/14/2024, indicated that Resident 1's cognitive skills (ability to think and process information) for daily decision-making tasks were severely impaired.

The MDS indicated Resident 1 was dependent (helper does ALL the effort and resident does none of the effort to complete the activity or the assistance of two or more helpers is required for the resident to complete the activity) for eating, oral hygiene (cleaning teeth), toileting hygiene, shower or bathing, upper and lower body dressing, putting on or removing footwear, and personal hygiene needs (combing hair and washing or drying face or hands).

A review of Resident 1's record titled, Progress Notes, dated 6/1/2024 at 12:10 p.m., indicated that Resident 1's assigned CNA (CNA 1) was about to weigh Resident 1 with a lift machine (mechanical lift, a lift device with a weighing scale designed to lift and transfer patients from a bed to a wheelchair or vice versa). CNA 1 then left Resident 1 unattended to ask for assistance from another staff member (unidentified). CNA 1 was then quoted as stating, I was almost at the door when I heard a loud sound. I turned my back, opened the curtain and I saw my resident (Resident 1) on the floor on the legs of the lifting machine.

The record indicated CNA 1 noted blood around Resident 1's head.

555579

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 555579 B.

Wing 06/14/2024

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

Ararat Nursing Facility 15099 Mission Hills Road Mission Hills, CA 91345

F-F689.

Findings:

A review of Resident 1's Admission Record indicated the facility admitted Resident 1 on 7/9/2021 with diagnoses including parkinsonism, Alzheimer's disease (a brain disorder affecting memory and thinking skills that worsens over time), dementia (loss of thinking or remembering affecting daily life), and age-related osteoporosis (loss of bone mass with increasing risk for bone breakage).

A review of Resident 1's Minimum Data Set (MDS - a standardized assessment and care screening tool), dated 5/14/2024, indicated that Resident 1's cognitive skills (ability to think and process information) for daily decision-making tasks were severely impaired.

The MDS indicated Resident 1 was dependent (helper does ALL the effort and resident does none of the effort to complete the activity or the assistance of two or more helpers is required for the resident to complete the activity) for eating, oral hygiene (cleaning teeth), toileting hygiene, shower or bathing, upper and lower body dressing, putting on or removing footwear, and personal hygiene needs (combing hair and washing or drying face or hands).

555579

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 555579 B.

Wing 06/14/2024

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

Ararat Nursing Facility 15099 Mission Hills Road Mission Hills, CA 91345

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 MISSION HILLS, 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 Ararat Nursing Facility or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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