Maclay Healthcare Center
MACLAY HEALTHCARE CENTER in SYLMAR, CA — inspection on September 15, 2025.
Found 1 citation. 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 on 9/15/2025 at 1:55 p.m. with Licensed Vocational Nurse (LVN) 1, LVN 1 stated on 8/29/2025, at approximately 4: 10 p.m., Resident 2 approached him (LVN 1) and informed that Resident 1 had a bowel movement and needed assistance. LVN 1 stated that approximately two to three minutes after (approximately 4:15 p.m.) talking to Resident 2, he (LVN 1) went to Room A and found Resident 1 on the floor near the foot of Resident 1's bed, leaning towards his (Resident 1) right side, in a semi-sitting position. LVN 1 stated that he immediately got in between Resident 1 and Resident 2 since Resident 2 was standing too close to Resident 1. LVN 1 stated that Resident 2 said that he (Resident 2) pushed Resident 1. LVN 1 stated that the incident of Resident 2 pushing Resident 1 on 8/29/2025 was an incident of physical abuse and had the potential for Resident 1 to sustain injuries such as fractures, head injury, and bleeding.
During an interview on 9/15/2025 at 2:26 p.m. with Registered Nurse (RN) 1, RN 1 stated that on 8/29/2025 she (RN 1) was informed by LVN 1 that Resident 2 pushed Resident 1. RN 1 stated that she (RN 1) could not recall the exact time of the incident but when she (RN 1) entered Room A, Resident 1 was on the floor next to Resident 1's bed, lying towards his (Resident 1) right hip. RN 1 stated Resident 2 told her (RN 1) that he (Resident 2) pushed Resident 1. RN 1 stated that the incident of Resident 2 pushing Resident 1 on 8/29/2025 was an incident of physical abuse and had the potential for Resident 1 to sustain injuries, such as fractures.
During a record review of the facility-provided policy and procedure titled, Abuse Prevention and Reporting Policy, last reviewed on 4/2025, the policy and procedure indicated, It is the policy of this facility to maintain a zero tolerance for abuse .
All residents have the right to be free from abuse and mistreatment.
Purpose - Ensure residents are protected from all forms of abuse (physical .).
Definitions - Abuse: The willful infliction of injury, unreasonable confinement, intimidation, or punishment causing physical harm, pain, or mental anguish.
Facility ID: