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Complaint Investigation

Playa Del Rey Center

November 18, 2025 · Playa Del Rey, CA · 7716 Manchester Avenue
Citations 2
CMS Rating 1/5
Beds 99
Provider ID 555004
Healthcare Facility
Playa Del Rey Center
Playa Del Rey, CA  ·  View full profile →
Inspection Summary

PLAYA DEL REY CENTER in PLAYA DEL REY, CA — inspection on November 18, 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.

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Inspection Findings

FF0690
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was originally admitted to the facility on [DATE] and readmitted on [DATE]. Resident 1's diagnoses included dementia (loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life), dysphagia (a medical condition characterized by difficulty or discomfort in swallowing), and peripheral vascular disease (a condition where the arteries and veins in the limbs, usually the legs become narrowed or blocked, reducing blood flow).During a review of Resident 1's Minimum Data Set (MDS-a resident assessment and care planning tool), dated 8/14/2025, the MDS indicated Resident 1 had clear speech but was sometimes understood.

The MDS indicated Resident 1 responds adequately to simple, direct communication only.

The MDS indicated Resident 1 was dependent (helper does all the effort) on staff for toileting hygiene, personal hygiene, and with rolling left to right (the ability to roll from lying back to left to right and return to lying on back on the bed).

The MDS indicated Resident 1 was incontinent (unable to voluntarily control retention of urine or feces in the body) of bowel (defecation) and bladder (urine).During a review of Resident 1's untitled care plan, dated 10/7/2025, the care plan indicated Resident 1 was incontinent of bowel and bladder related to cognitive loss/inability to recognize and communicate toileting needs.

The care plan goals indicated Resident 1's continent care needs will be met by staff to maintain dignity and comfort and to prevent incontinence related complications.

The care plan interventions included assisting Resident 1 with perineal care as needed and providing comfort.

During an interview on 9/29/2025 at 11:50 with CNA1, CNA 1 stated he checked on Resident 1 at the beginning of his shift but did not check her diaper. CNA 1 stated failure to provide incontinent care in a timely manner will result in skin redness, skin irritation and developing wounds.

During a review of the facility's policy and procedure (P&P) titled Perineal Care, dated 2/2018, the P&P indicated to provide cleanliness and comfort to the resident, to prevent infections and skin irritation.

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 REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/18/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Playa Del Rey Center

7716 Manchester Avenue Playa Del Rey, CA 90293

SUMMARY STATEMENT OF DEFICIENCIES

Based on observation, interview and record review, the facility failed to ensure a current Direct Care Service Hours Per Patient Day (DHPPD- a staffing standard used in California's skilled nursing facilities, that measures the average number of actual hours of direct care provided to each patient in a 24-hour period) containing an updated census and number of staff on duty to ensure residents receive adequate level of direct care), was posted on 9/29/2025 at Nursing Station 1.

This failure had the potential the facility did not meet the staffing requirements and placed the residents' care needs at risk of not being met.Findings: During a concurrent observation and interview on 9/29/2025 at 10:10 a.m., with the Director of Staff Development (DSD) at Nursing Station 1, The Census and Direct Care Service Hours Per Patient Day (DHPPD), dated 9/26/2025 was observed posted at the nursing station counter.

The DSD acknowledged the DHPPD hours posted were not current and was 3 days old.

The DSD stated the posted DHPPD hours should be updated daily.

The DSD stated residents could feel anxious not knowing the facility has sufficient staff coverage to assist them with their activity of daily living needs.

During a review of the facility's policy and procedure (P&P) titled Posting Direct Care Staffing Number, dated 8/2022, the P&P indicated the facility should post daily, for each shift, nurse staffing data, including the number of nursing personnel responsible for providing direct care to residents.

The P&P indicated, within 2 hours of the beginning of each shift, the number of licensed nurses (Registered Nurses [RN] and Licensed Vocational Nurses [LVN]) and the number of unlicensed nursing personnel (Certified Nurse Assistants [CNA] and Nurse Assistants [NA]) directly responsible for resident care should be posted in a prominent location (accessible to residents and visitors) and in a clear and readable format.

Facility ID:

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 PLAYA DEL REY, 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 PLAYA DEL REY CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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