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Complaint Investigation

Astoria Healthcare Center

April 29, 2025 · Sylmar, CA · 14040 Astoria Street
Citations 2
CMS Rating 1/5
Beds 218
Provider ID 056084
Healthcare Facility
Astoria Healthcare Center
Sylmar, CA  ·  View full profile →
Inspection Summary

Astoria Healthcare Center in SYLMAR, CA — inspection on April 29, 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

FF656
Minimal harm or meeting was done with Family member 1 (FM 1) about Resident 1's fall incident on 4/23/2025. The Care Few During a concurrent observation, and interview on 4/29/2025, at 8:15 a.m., with Resident 1, at Resident 1's affected

During a review of Resident 1's Face Sheet (Admission Record), the Face Sheet indicated the facility admitted Resident 1 on 4/22/2025, with diagnoses that included unspecified (unconfirmed) fracture of the ninth and tenth thoracic vertebrae (a break in the bone of the spine, specifically in the middle back), history of fall, and unspecified dementia (a progressive state of decline in mental abilities).

During a review of Resident 1's Situation-Background-Assessment-Recommendation (SBAR) Communication Tool (a technique that provides a framework for communication between members of the health care team about a resident's condition), dated 4/23/2025, the SBAR indicated on 4/23/2025 at 6:45 a. m., Resident 1 was found sitting on her (Resident 1) bedside floor with a pain level of 10 out of 10 (zero-no pain, 10-severe pain) right shoulder and right arm pain.

During a review of Resident 1's Patient Report (Radiology Report-a detailed report that describes the results of an imaging test), dated 4/23/2025, the Patient Report indicated Resident 1 had acute mildly displaced fracture (a bone break that occurred recently within the first few days and where the broken pieces of bone are slightly out of alignment) involving the proximal humerus (the upper, shoulder end of the humerus bone, which is the long bone in the upper arm).

During a review of Resident 1's Care Plan, dated 4/23/2025, about status post (after) fall, the Care Plan indicated an intervention initiated on 4/25/2025 for Resident 1 to have a bed alarm while Resident 1 was in bed.

During a review of Resident 1's History and Physical (H&P-a medical examination that involves a doctor taking a patient's medical history, performing a physical exam, and documenting their findings) Examination, dated 4/25/2025, the H&P indicated Resident 1 had the capacity to understand and make decisions.

056084

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 056084 B.

Wing 04/29/2025

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

Astoria Nursing and Rehab Center 14040 Astoria Street Sylmar, CA 91342

During a review of Resident 1's History and Physical (H&P-a medical examination that involves a doctor taking a patient's medical history, performing a physical exam, and documenting their findings) Examination, dated 4/25/2025, the H&P indicated Resident 1 had the capacity to understand and make decisions.

During a review of Resident 1's Care Plan, dated 4/23/2025, about status post (after) fall, the Care Plan indicated an intervention initiated on 4/25/2025 for Resident 1 to have a bed alarm while Resident 1 was in bed.

During a review of Resident 1's Care Plan Review, dated 4/25/2025, the Care Plan Review indicated an Interdisciplinary Team (IDT-a coordinated group of experts from several different fields who work together) meeting was done with Family member 1 (FM 1) about Resident 1's fall incident on 4/23/2025.

The Care Plan Review indicated FM 1 agreed for Resident 1's use of bed alarm.

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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

056084

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 056084 B.

Wing 04/29/2025

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

Astoria Nursing and Rehab Center 14040 Astoria Street Sylmar, CA 91342

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 SYLMAR, 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 Astoria Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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