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Complaint Investigation

Santa Monica Rehabilitation Center

August 8, 2024 · Santa Monica, CA · 1338 20th Street
Citations 2
CMS Rating 1/5
Beds 144
Provider ID 555808
Healthcare Facility
Santa Monica Rehabilitation Center
Santa Monica, CA  ·  View full profile →
Inspection Summary

SANTA MONICA REHABILITATION CENTER in SANTA MONICA, CA — inspection on August 8, 2024.

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

FF600
Minimal harm or has trouble remembering, learning new things, concentrating, or making decisions that affect their everyday Few A record review and concurrent interview on 8/05/2024 at 12:40 PM with RN 1, Resident 4's entire medical affected

During an interview on 8/05/2024 at 12:47 PM with RN 1, RN 1 stated that on 8/05/2024 between 7 AM and 7:30 AM, RN 1 initially noticed bruises on Resident 4's forehead and left cheek. RN 1 stated Medical Doctor 1 (MD 1) was notified on 8/05/2024 at 11 AM.

When asked why there was a four-hour delay in reporting Resident 4's injuries to MD 1, RN 1 stated I [RN 1] got busy.

During a telephone interview on 8/05/2024 at 1:13 PM with family member 4 (FM 4), FM 4 stated that when FM 5 visited Resident 4 in the facility on either 8/01/2024 or 8/02/2024 (not sure of the date), the facility did not notify/inform FM 5 of Resident 4's bruises on the forehead and left cheek prior to FM 5's visit. FM 4 stated from 8/01 until today (8/05) facility did not inform/notify FM 3, FM 4, or FM 5 of Resident 4's bruises on the forehead and left cheek.

During an interview on 8/07/2024 at 4:20 PM with LVN 2, LVN 2 stated that on 8/04/2024 around 4:30 pm and 5 PM, CNA 3 notified LVN 2 of Resident 4's bruises on the forehead and left cheek. LVN 2 stated When I saw [Resident 4], [Resident 4] already had the bruise (on the forehead and on the left cheek). I did not witness what happened to [Resident 4]. LVN 2 stated that on 8/04/2024 around 7 PM, LVN 2 made a call to MD 1 but did not leave any messages.

When asked why the call to MD 1 was made three to four hours after initially informed by CNA 3 about Resident 4's bruises on the forehead and left cheek on 8/04/2024 around 4:30 PM and 5 PM, LVN 2 stated I was passing meds (medications), and [Resident 4] was not complaining of pain. LVN 2 stated when MD 1 was making rounds (visiting other residents) in the facility on 8/04/2024 at around 8 PM or 9 PM, LVN 2 did not notify MD 1 about Resident 4's injuries to the forehead and left cheek.

During an interview on 8/07/2024 at 5:41 PM with Administrator 1 (Admin 1), Adm 1 stated when their (facility's) own investigation concluded that Resident 4 was not allegedly abused, report to California Department of Public Health (CDPH), Ombudsman (a long-term care representative that assists residents in LTCF with issues related to day-to-day care, health, safety, and personal preferences), and law enforcement will not be made.

555808

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 555808 B.

Wing 08/08/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Santa Monica Rehabilitation Center 1338 20th Street Santa Monica, CA 90404

During a concurrent observation and interview on 8/05/2024 at 12:22 PM, of Resident 4, Resident 4 was found sitting on a wheelchair just outside Resident 4 ' s room.

The surveyor observed Resident 4 with a round maroon/reddish color discoloration on the left cheek, and swelling with maroon, reddish, purple, light yellow, dark red discoloration on the forehead.

When Resident 4 was asked how Resident 4 got the maroon/reddish color discoloration on the left cheek, and swelling with maroon, reddish, purple, light yellow, dark red discoloration on the forehead, Resident 4 stated I don ' t know. Resident 4 was observed with facial grimacing.

When asked if in pain, Resident 4 pointed to her forehead, but the resident was not able to state the pain level.

A review of facility ' s undated Incident/Accident Report incident on Resident 4, RN 3 documented that Resident 4 had discoloration on the forehead and left cheek with no pain, and no bleeding.

The Report indicated, RN 3 notified FM 5 about Resident 4 ' s discoloration on the forehead and left cheek on 8/05/2024 at 11 AM.

A record review and concurrent interview on 8/05/2024 at 12:40 PM with RN 1, Resident 4 ' s entire medical chart (paper charting) was reviewed. RN 1 acknowledged and stated that Resident 4 ' s medical chart did not have/include the nursing progress notes, physician orders, physician progress notes, skin assessment, Medication Administration Record (MAR - a report detailing the drugs administered to a patient by a licensed healthcare professional at a facility), care plans, or an SBAR/COC related to Resident 4 ' s injuries to the forehead and the left cheek.

During an interview on 8/05/2024 at 12:47 PM with RN 1, RN 1 stated that MD 1 was notified about Resident 4 ' s injuries to the forehead and the left cheek on 8/05/2024 at 11 AM.

When asked why MD 1 was not immediately informed of Resident 4 ' s injuries after the injuries were identified on 8/05/2024 between 7 AM or 7:30 AM, RN 1 stated I [RN 1] got busy.

555808

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 555808 B.

Wing 08/08/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Santa Monica Rehabilitation Center 1338 20th Street Santa Monica, CA 90404

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 SANTA MONICA, 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 SANTA MONICA REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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