Four Seasons Healthcare & Wellness Center, Lp
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP in NORTH HOLLYWOOD, CA — inspection on December 23, 2025.
Found 1 citation. 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 review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 10/22/2025, the MDS indicated Resident 1's cognitive (conscious mental activities including thinking, reasoning, understanding, learning, and remembering) skills for daily decision making were moderately impaired.
During a review of Resident 1's Physician Orders, dated 12/16/2025, the Physician Orders indicated to monitor and document for episodes of seizure activity every shift and notify the attending physician of seizure presence.
During an interview on 12/23/2025 at 3:51 p.m. and concurrent record review of Resident 1's Progress Notes, dated 12/18/2025, reviewed with Registered Nurse (RN) 1, the Progress Notes indicated Resident 1 experienced three consecutive seizure episodes . at 8:45 a.m. for ten seconds, at 11:11 a.m. for one minute, and at 12 p.m. for two minutes. RN 1 stated licensed nurses should document the assessment done on Resident 1 after the resident's COC. RN 1 stated there was no documented evidence that a Situation, Background, Appearance, and Review (SBAR) Form was created for the three seizure episodes of Resident 1 on 12/18/2025. RN 1 stated Resident 1's COC documentations were incomplete.
During an interview on 12/23/2025 at 3:55 p.m. with the Director of Nursing (DON), the DON stated the licensed nurse that witnessed Resident 1's seizure or the RN supervisor should document the seizure episodes and the assessment done on the resident.
The DON stated complete documentation was important for communicating Resident 1's condition to the attending physician and the resident's care team.
The DON stated the facility failed to ensure proper documentation of Resident 1's assessment was completed.
During a review of the facility's policy and procedure (PnP) titled, Change in Condition, last reviewed on 9/25/2025, the PnP indicated the licensed nurse will document the following . i. date, time, and pertinent details of the event and the subsequent assessment in the medical record. ii.
The time the Physician was contacted. iii.
The time the family or responsible person was contacted.
During a review of the facility's policy and procedure (PnP) titled, Completion and Correction, last reviewed on 9/25/2025, the PnP indicated the purpose to ensure that medical records are complete and accurate.
The PnP indicated . entries will be recorded promptly as the events or observations occur.
Entries will be complete, legible, descriptive, and accurate. any person making observations or rendering services to the resident will document in the record.
The PnP indicated documentation will reflect medically relevant information concerning the resident and will be documented in a professional manner.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.