Maclay Healthcare Center
MACLAY HEALTHCARE CENTER in SYLMAR, CA — inspection on August 28, 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.
Inspection Findings
During an interview with Resident 2 on 8/28/2025 at 12:10 p.m., Resident 2 stated on 8/23/2025 at 6:30 a.m., his roommate (Resident 1) pressed the call light and CNA 1 came inside the room to answer the call light. Resident 2 stated he (Resident 2) heard Resident 1 told CNA 1 that Resident 1 wanted a different CNA to change Resident 1. Resident 2 stated he (Resident 2) heard CNA 1 yell out obscenities and a derogatory and racial insult at Resident 1. Resident 2 stated CNA 1 should have walked away and called the RN 1, instead of staying in the room and yelling out obscenities at Resident 1.
During an interview with RN 1 on 8/28/2025 at 12:30 p.m., RN 1 stated on 8/23/2025 at 6:30 a.m., Resident 1 called her because he (Resident 1) did not want CNA 1 to change him. RN 1 stated Resident 1 reported to her (RN 1) that CNA 1 called him (Resident 1) a derogatory and racial insult. RN 1 stated she (RN 1) did not report this verbal abuse allegation to anyone because she (RN 1) did not think anything of it. RN 1 stated she (RN 1) realized this was verbal abuse and should have reported to the abuse coordinator within two hours. RN 1 stated she (RN 1) was very sorry for not reporting the verbal abuse right away.
During an interview with the ADMIN and Director of Nurses (DON) on 8/28/2025 at 3:30 p.m., the ADMIN stated Resident 1 reported to her (ADMIN) and the DSD that on 8/23/2025 at 6:30 a.m., CNA 1 went to answer his (Resident 1) call light, and Resident 1 requested for a different CNA.
The ADMIN stated Resident 1 reported that CNA 1 yelled a derogatory and racial insult at him (Resident 1).
The ADMIN stated she (ADMIN) did not know Resident 1 had reported this to RN 1 on 8/23/2025.
The ADMIN and DON stated the facility has no tolerance for any abuse and RN 1 should have reported this right away (facility reported to the State Survey Agency on 8/26/2025).
The ADMIN stated that CNA 1 and RN 1 will be terminated effective immediately. A review of the facility's policy and procedure titled, Abuse, Neglect, Exploitation, and Misappropriation Prevention Program, dated 4/2021, the policy and procedure indicated Residents have the right to be free from abuse.
This includes but is not limited to verbal abuse.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
MacLay Healthcare Center
12831 MacLay Street Sylmar, CA 91342
SUMMARY STATEMENT OF DEFICIENCIES
During an interview with RN 1 on 8/28/2025 at 12:30 p.m., RN 1 stated on 8/23/2025 at 6:30 a.m., Resident 1 called her because he (Resident 1) did not want CNA 1 to change him. RN 1 stated Resident 1 reported to her (RN 1) that CNA 1 called him (Resident 1) a derogatory and racial insult. RN 1 stated she (RN 1) did not report this verbal abuse allegation to anyone because she (RN 1) did not think anything of it. RN 1 stated she (RN 1) realized this was verbal abuse and should have reported to the abuse coordinator within two hours. RN 1 stated she (RN 1) was very sorry for not reporting the verbal abuse right away.
During an interview with the ADMIN and Director of Nurses (DON) on 8/28/2025 at 3:30 p.m., the ADMIN stated Resident 1 reported to her (ADMIN) and the DSD that on 8/23/2025 at 6:30 a.m., CNA 1 went to answer his (Resident 1) call light, and Resident 1 requested for a different CNA.
The ADMIN stated Resident 1 reported that CNA 1 yelled a derogatory and racial insult at him (Resident 1).
The ADMIN stated she (ADMIN) did not know Resident 1 had reported this to RN 1 on 8/23/2025.
The ADMIN and DON stated the facility has no tolerance for any abuse and RN 1 should have reported this right away (facility reported to the State Survey Agency on 8/26/2025).
The ADMIN stated that CNA 1 and RN 1 will be terminated effective immediately.
During a review of the facility-provided policy and procedure titled, Abuse Investigation and Reporting, revised on 7/2027, the policy and procedure indicated, All reports of resident abuse . shall be promptly reported to local, state and federal agencies (as defined by current regulations).
Reporting 1.
All alleged violations involving abuse . will be reported by the facility Administrator, or his/her designee, to the following persons or agencies: a.
The State licensing/\certification agency responsible for surveying/licensing the facility . 2.
An alleged violation of abuse . will be reported immediately, but not later than: a.
Two (2) hours if the alleged violation involves abuse.
Facility ID:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.