Skip to main content
Complaint Investigation

Imperial Care Center

July 12, 2024 · Studio City, CA · 11441 Ventura Blvd
Citations 2
CMS Rating 1/5
Beds 130
Provider ID 555707
Healthcare Facility
Imperial Care Center
Studio City, CA  ·  View full profile →
Inspection Summary

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.

Advertisement

Inspection Findings

FF604
Minimal harm or others. The MDS indicated the resident had impaired upper and lower extremities and was mostly dependent Some A review of Resident 4 ' s Fall Risk Assessment, dated 6/8/2024, indicated Resident 4 was high risk for falls affected

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

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 STUDIO CITY, 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 IMPERIAL CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement