Four Seasons Healthcare & Wellness Center, Lp
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP in NORTH HOLLYWOOD, CA — inspection on February 20, 2026.
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.
Inspection Findings
During an interview on 2/20/2026 at 11:33 a.m. with the DON, the DON stated the purpose of a care plan is to identify a problem, goal and intervention for a resident.
The DON stated it is important to follow a resident's care plan and implement the interventions in order to meet the goal of the patient and to see if [the interventions are] effective or not effective.
The DON stated it is a standard nursing practice to carry out a doctor's order (to perform/complete a particular treatment that a doctor prescribes for a resident).
The DON stated that the DON was aware that Resident 1's doctor had ordered MRI and CT tests back in October 2025, and that Resident 1's MRI and CT appointment was cancelled in November 2025 due to Resident 1's size.
The DON stated the purpose of diagnostic tests was to know what to do next in a patient's plan of care.
The DON stated there had been a delay in care when Resident 1's MRI and CT appointments were cancelled, and the facility did not follow up as indicated in Resident 1's care plan.
During a review of the facility's policy and procedure (P&P) titled, Comprehensive Person-Centered Care Planning, dated 9/7/2023, the P&P indicated the following: The Facility will provide person-centered, comprehensive, and interdisciplinary care that reflects best practice standards for meeting health, safety, psychosocial, behavioral, and environmental needs of residents in order to obtain or maintain the highest physical, mental, and psychosocial well- being.
The P&P indicated a resident's care plan will include, at minimum . physician orders.
The P&P indicated a resident's care plan must reflect the resident's stated goals and objectives, and include interventions that address his or her needs.
During a review of the facility's job description for RN titled, RN Staff Nurse Job Description, undated, the job description indicated a registered nurse provides nursing care prescribed by physician/health care professional in accordance with.established standards of care, policies, and procedures.
The RN job description indicated a registered nurse implements.nursing interventions to the resident plan of care, and completes medical treatments as indicated and ordered by the physician.
055932 02/20/2026
Four Seasons Healthcare & Wellness Center, LP 5335 Laurel Canyon Blvd.
North Hollywood, CA 91607
Residents have the right to self-administer medication when it is deemed safe and
licensed nurse completes the self-administration of medication assessment which evaluates the
knowledge of proper storage and safety. A written physician's order is required before a resident begins self-administration Storage and security, the medications will be placed in a secure drawer or cabinet that is easily accessible to the resident. nursing staff will monitor the resident's ability to continue to self-administer safely.
The licensed nurse will inspect the contents of the medication containers for evidence the medication may not be able to administered All self-administered medications must have a complete pharmacy label as directed is not acceptable Over the counter medications must have intact readable labels Self-administration of medication will be documented in the resident's Plan of Care and the Medication Administration Record.
055932 02/20/2026
Four Seasons Healthcare & Wellness Center, LP 5335 Laurel Canyon Blvd.
North Hollywood, CA 91607
During an interview on 2/19/2026 at 1:15 p.m. with the Director of Admissions (DA), the DA stated, I assisted with case management approximately end of June [2025] to early July 2025 up to around end of January 2026.
The DA stated the prior case manager had resigned last year in 2025, so the DA was assisting in the case management department.
The DA stated that for diagnostic imaging tests that are ordered by a doctor, the case manager would first get a copy of the doctor's order because that's the only way to submit the request to insurance company for approval, if a resident is part of the Health Maintenance Organization (HMO - a type of health insurance plan).
The DA stated once an insurance approval is received, the case manager will then find a testing center that is part of a resident's HMO and set up an appointment.
During a concurrent interview and record review on 2/19/2026 at 1:26 p.m. with the DA, Resident 1's Appointment Information sheet, undated was reviewed.
The DA stated Resident 1's Appointment Information sheet was completed by the facility's corporate office.
The DA stated, Our corporate has a hub of case managers, and they help us arrange appointments.
The DA stated the Appointment Information sheet indicated Resident 1 had an MRI and CT appointment scheduled for 11/6/2025 at 3:00 p.m.
When asked why Resident 1's MRI and CT appointment on 11/6/2025 was cancelled, the DA stated he did not recall anyone telling DA the appointment was cancelled.
The DA stated, Nursing would let me know, but I don't recall anyone telling me about it.
When asked what the DA would have done if someone did inform the DA that Resident 1's MRI and CT appointment was cancelled, the DA stated, We would have to find an MRI center that would accommodate the patient.
During an interview on 2/20/2026 at 11:33 a.m. with the Director of Nursing (DON), the DON stated it is a standard nursing practice to carry out a doctor's order (to perform/complete a particular treatment that a doctor prescribes for a resident).
The DON stated if a doctor's order is unable to be carried out during a nurse's shift, that nurse may endorse the doctor's order to the next shift for continuance of care.
The DON stated that the DON was aware that Resident 1's doctor had ordered MRI and CT tests back in October 2025, and that Resident 1's MRI and CT appointment was cancelled in November 2025 due to Resident 1's size.
The DON stated RN 2 should have documented her endorsement of Resident 1's cancelled MRI and CT tests so that the next nursing shifts could follow up.
The DON stated the purpose of documentation is so that everyone knows what's going on with the patient and can follow up if needed.
The DON stated if there is no documentation, then the action that a nurse claims to have taken did not occur.
During a review of the facility's policy and procedure (P&P) titled, Completion and Correction, dated 1/1/2012, the P&P indicated the purpose is to ensure that medical records are complete and accurate.
The P&P indicated entries will be recorded promptly as the events or observations occur.
The P&P further indicated that documentation will reflect medically relevant information concerning the resident.