Imperial Care Center
IMPERIAL CARE CENTER in STUDIO CITY, CA — inspection on July 12, 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.
Inspection Findings
During an observation on 7/9/2024, at 8:58 a.m., during resident screening, inside Resident 4 ' s room, Resident 4 was observed lying down in bed with both upper side rails up.
During an observation and interview on 7/10/2024, at 5:45 p.m., with Certified Nursing Assistant 3 (CNA 3), inside Resident 4 ' s room, Resident 4 was observed lying down in bed with both upper side rails up. CNA 3 stated she places both upper side rails up during evening shift to prevent the resident from falls and injuries. CNA 3 stated she knows that there was no order for both upper side rails to be on.
During a concurrent interview and record review on 7/10/2024, at 6:21 p.m., with Registered Nurse 4 (RN 4), Resident 4 ' s Order Summary Report, Physical Restraint Assessment Form, and Informed Consent were reviewed. RN 4 stated there was no physician order for both upper side rails to be on the resident, no Physical Restraint Assessment Form, and no Informed Consent from the resident or resident representative prior to the application of restraint both upper side rails use on the resident ' s medical chart. RN 4 stated it was important to obtain a physician ' s order, do a physical restraint assessment, and obtain an informed consent on the use of the restraint both upper side rails up to ensure appropriate use of the restraint to prevent injuries and physical decline to residents. RN 4 stated obtaining an informed consent from the resident or resident representative on the use of the restraint side rails honors the right of the resident to decide after being explained the risked and benefits of side rails if they want to use them.
During an interview on 7/12/2024, at 6:15 p.m., with the Director of Nursing (DON), the DON stated it was important to obtain a physician ' s order on the use of both upper side rails as a restraint, complete a Physical Restraint Assessment, and obtain an informed consent from the resident or resident representative prior to application of the restraint both upper side rails to ensure the safety and appropriate use of the restraint side rails and to prevent the resident from potential injuries such as entrapment.
A review of the facility's recent policy and procedure titled, Side Rail Use when Not a Restraint, last reviewed on 7/2023, indicated use of both side-rails in up position is not considered a restraint when resident is immobile and cannot voluntarily get out of bed due to a physical limitation.
Complete a Physical restraint Assessment Form.
Complete Informed Consent. If the Physical Restraint Assessment Form demonstrates that the resident is immobile and cannot voluntarily get out of bed due to a physical limitation, then proceed with the accompanying IDT for Use of both Side rails as non-Restraint.
The license nurse should obtain an order from the attending physician that may include the following:
555707
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 555707 B.
Wing 07/12/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Imperial Care Center 11441 Ventura Blvd Studio City, CA 91604
During an observation and interview on 7/10/2024, at 5:45 p.m., with Certified Nursing Assistant 3 (CNA 3), inside Resident 4 ' s room, Resident 4 was observed lying down in bed with both upper side rails up. CNA 3 stated she places both upper side rails up during the evening shift to prevent the resident from falls and injuries. CNA 3 stated she knows there was no order for both upper side rails to be up.
During a concurrent interview and record review on 7/10/2024, at 6:21 p.m., with Registered Nurse 4 (RN 4), Resident 4 ' s Order Summary Report, Physical Restraint Assessment Form, and Informed Consent was reviewed. RN 4 stated there was no physician order for both upper side rails to be on the resident, no physical restraint assessment form, and no informed consent from the resident or resident representative prior to the application of restraint-both upper side rails use in the resident ' s medical chart. RN 4 stated it was important to obtain a physician ' s order, perform a physical restraint assessment, and obtain an informed consent for the use of the restraint-both upper side rails up, to ensure appropriate use of the restraint, to prevent injuries and physical decline to residents. RN 4 stated obtaining an informed consent from the resident or resident representative for the use of the restraint side rails honors the right of the resident to decide after being explained the risks and benefits of side rails if they want to use them.
During an interview on 7/12/2024, at 6:15 p.m., with the Director of Nursing (DON), the DON stated it was important to obtain a physician ' s order for the use of both upper side rails as a restraint, complete a Physical Restraint Assessment, and obtain an informed consent from the resident or resident representative prior to application of the restraint both upper side rails, to ensure the safety and appropriate use of the restraint side rails and to prevent the resident from potential injuries such as entrapment.
A review of the facility's recent policy and procedure titled, Physical Restraints, last reviewed on 7/2023, indicated physical restraints are any manual method or physical or mechanical device, material or equipment attached or adjacent to the resident's body that the individual cannot remove easily, and which restrict freedom of movement or normal access to the use of one's body.
The IDT shall evaluate the outcome of all measures attempted and make recommendations accordingly.
The licensed nurse shall be responsible for obtaining an order from the attending physician, which include:
a.
Specific type of restraint.
b.
Purpose of the restraint.
c.
Time and place of application.
d.
Approaches to prevent decreased functioning when applicable.
e.
Informed consent obtained from resident or from surrogate decision-maker.
555707
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 555707 B.
Wing 07/12/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Imperial Care Center 11441 Ventura Blvd Studio City, CA 91604