The Springs Post-acute
THE SPRINGS POST-ACUTE in NORWALK, CA — inspection on February 6, 2025.
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.
Inspection Findings
055297
The facility failed to:
1.
Ensure Licensed Vocational Nurse (LVN 1) assessed and monitored Resident 1's condition, including vital signs, when the resident had a change in condition as follows:
a. On [DATE] at 10:12 p.m. Resident 1 had body temperature of 99.8 F
b. On [DATE] 10:57 a.m., Resident 1 had hematuria (blood in urine).
c. On [DATE] at 11:43 p.m. Resident 1 had an elevated body temperature of 103.8 F and heart rate of 130 bpm.
2.
Develop a care plan for Resident 1's diagnosis of neuromuscular dysfunction of the bladder (neurogenic bladder-impaired bladder control and difficulty emptying the bladder) with interventions to prevent the resident from developing a urinary tract infection (UTI- an infection in the bladder/ urinary tract) and sepsis (a life-threatening condition in which the body's reaction to an infection).
3.
Ensure licensed nurses, transferred Resident 1 to GACH on [DATE] at 11:53 p.m., without a delay of up to 6 hours, when Resident 1 had an elevated temperature of 103.8 F and heart rate of 130 bpm.
These failures resulted in a six-hour delay transferring Resident 1 to the GACH from the time Resident 1 had a change in condition, where he was diagnosed with septic shock (life threatening condition when an infection spreads throughout the body and causes a dangerously low blood pressure) and he expired on [DATE], (13 hours after he was admitted to the GACH.
On [DATE], at 2:34 p.m., an Immediate Jeopardy ([IJ] a situation in which the facility's noncompliance with one or more requirements of participation had cause, or is likely to cause serious injury, harm, impairment, or death to a resident) was called in the presence of the Administrator (ADM) and Director of Nursing (DON) due to the facility's failure to transfer Resident 1 to GACH) timely, when he had a COC on [DATE].
055297
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 055297 B.
Wing 02/06/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Springs Post-Acute 10625 Leffingwell Road Norwalk, CA 90650