Providence St Elizabeth Care Center
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
doctor should have been timely notified about Resident 1's change in condition when Resident 1 reportedly stated he was going to hurt himself. When asked if RN 1 had notified Resident 1's doctor around the same time that RN 1 notified FM 1 at 4:47 a.m., RN 1 stated no. RN 1 stated she contacted Resident 1's doctor several hours later after the emergency personnel had already transported Resident 1 to an acute hospital.
RN 1 stated she later obtained an order from Resident 1's doctor to transfer Resident 1 to an acute hospital. RN 1 stated the time listed on the doctor's order was the approximate time that she had spoken with the doctor. During a review of Resident 1's Order Summary, dated 10/30/2025, the Order Summary indicated that RN 1 spoke with Resident 1's doctor on 10/30/2025 at 6:39 a.m. The Order Summary indicated that Resident 1's doctor gave an order for Resident 1 to be transferred to an acute hospital.
During an interview on 11/25/2025 at 1:20 p.m. with the DON, the DON stated a licensed nurse needs to notify the resident, family and physician when there is a change of condition. The DON stated it is important to notify the family so that they are involved in the plan of care. The DON stated it is important to notify the doctor to provide him/her updates on any changes regarding a resident, and to also get orders from the doctor. During a review of the facility's policy and procedure (P&P) titled, Change in Condition, dated 6/2025, the P&P indicated the following: There will be certain circumstances where immediate attention will be warranted, and nursing will be responsible for notifying the appropriate department for evaluation. The nurse shall . contact the physician based on the urgency of the situation. During a review of the facility's job description titled, Registered Nurse Supervisor, dated 12/17/2021, the job description indicated the registered nurse is to [n]otify the resident's attending physician and next of kin when there is a change in
the resident's condition.
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PROVIDENCE ST ELIZABETH CARE CENTER in NORTH HOLLYWOOD, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 PROVIDENCE ST ELIZABETH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.