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Complaint Investigation

Four Seasons Healthcare & Wellness Center, Lp

March 26, 2026 · North Hollywood, CA · 5335 Laurel Canyon Blvd.
Citations 1
CMS Rating 1/5
Beds 201
Provider ID 055932
Healthcare Facility
Four Seasons Healthcare & Wellness Center, Lp
North Hollywood, CA  ·  View full profile →
Inspection Summary

FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP in NORTH HOLLYWOOD, CA — inspection on March 26, 2026.

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.

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Inspection Findings

FF0842
Resident Assessment and Care Planning Deficiencies

During a review of Resident 1's History and Physical (H&P - a comprehensive assessment of a resident's medical condition), dated 4/23/2025, the H&P indicated Resident 1 had the capacity to understand and make decisions.

During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 2/12/2026, the MDS indicated Resident 1 had intact cognitive functioning (resident's mental abilities, impacting their ability to think, learn, remember, reason, and make decisions).The MDS indicated Resident 1 was with toileting hygiene, showers, upper and lower body dressing.

The MDS indicated Resident 1 was independent with ambulating 150 feet (ft-unit of measurement).

During a concurrent interview and record review on 3/26/2026 at 12:39 p.m. with the Interim Rehab Director (IRD), Resident 1's was discharged from Physical and Occupation Therapy on 5/19/2025.

The IRD stated Resident 1 did not receive Occupational and Physical therapy after 5/19/2025.

During a concurrent interview and record review on 3/26/2026 at 1:38 p.m. with the Director of Nursing (DON), Resident 1's Long Term Care Evaluation forms dated 6/8/2025 and 6/29/2025 were reviewed.

The Long Term Care Evaluation forms dated 6/8/2025 and 6/29/2025 indicated that Resident 1 continued to participate in Occupational and Physical Therapy as ordered by the physician.

The DON stated the Long Term Care Evaluation was a weekly assessment of resident's progress for continuation of care.

The DON stated Resident 1 was not receiving Occupational and Physical therapy during the 6/8/2025 and 6/29/2025 evaluation period.

The DON stated the evaluation forms were not documented accurately.

During a review of the facility-provided policy and procedure titled, Completion and Correction, last reviewed on 1/26/2026, the P&P indicated, To ensure that medical records are complete and accurate.

The Facility will work to complete and correct medical records in a standardized manner to provide the highest quality and accuracy in documentation. III.

Entries will be complete, legible, descriptive, and accurate.

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

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 NORTH HOLLYWOOD, 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 FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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