Santa Anita Convalescent Hospital
SANTA ANITA CONVALESCENT HOSPITAL in TEMPLE CITY, CA — inspection on November 5, 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 11/4/2025 at 1:28 PM with Receptionist 1, Receptionist 1 stated when someone presses the button located on the side of the facility's side parking gate, it rings the phone in at the reception desk.
Receptionist 1 stated, she is then able to enter a code that opens the gate.
Receptionist 1 also stated she typically does not speak to the person who pressed the button to ask for their identity.
During an interview on 11/4/2025 at 2:38 PM with Receptionist 2, Receptionist 2 stated she was the Receptionist on 11/1/2025 and stated on 11/1/2025, when the phone notified her that someone was at the parking gate, she did not ask who was requesting to open the gate and input the code to open it.
Receptionist 2 stated she was not aware and was never trained that she needed to speak to the person at the gate to ask or screen who they were.
During an interview on 11/5/2025 at 1:33 PM with Assistant Administrator (AADM), AADM stated the normal process for when someone presses the side parking gate button is for the receptionist to ask the person's name and what they are there for since it is only authorized personnel who are allowed to use the back parking lot. AADM stated on 11/1/2025 when the person pressed the side parking button, the receptionist should have asked who they were, for their name and if they were an employee and because that process was not followed, Resident 1 was able to leave the facility.
During an interview on 11/5/2025 at 2:05 PM with QA, QA stated that staff became complacent with Resident 1's behavior of always staying out in the patio or his room and did not expect that he would ever wheel himself out to the back parking lot side gate and leave. QA stated the receptionist probably assumed the person who pressed the side parking lot gate button was either staff or a delivery coming in.
During a review of the facility's policy and procedure (P&P) titled, Wandering and Elopement, revised 6/1/2017, the P&P indicated its purpose was, To enhance the safety of residents of the facility, and further indicated:a. If Facility Staff observes a resident leaving the premises without having followed proper procedures, he/she may:a.
Try to prevent departure in a courteous manner.b.
Get help from other Facility Staff in the immediate vicinity, if necessary; andc.
Direct another Facility Staff member to inform the Charge Nurse or Director of Nursing Services that a resident is trying to leave the premises.
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