Santa Anita Convalescent Hospital
SANTA ANITA CONVALESCENT HOSPITAL in TEMPLE CITY, CA — inspection on November 24, 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 10/30/2025 at 10:59 AM with MDSN 1, MDSN 1 stated he was aware of Resident 1's fall episode on 10/7/2025 but he forgot to include Resident 1 episode of fall the Resident 1's MDS assessment and documentation dated 10/23/2025. MDSN 1 stated he should have included Resident 1 fall episode on 10/7/2025 to reflect Resident 1 updated health condition to identify health problems and Individualized plan of care.
During an interview on 10/30/2025 at 11:13 AM with MDS supervisor, the MDS supervisor stated it is very important to document the correct information into the resident's MDS to make sure there is accurate patient care planning, determining reimbursement rates, ensuring regulatory compliance, and measuring quality of care.
During a review of the facility's Policy and Procedure (P&P) titled Resident Assessment Instrument (RAI - a guide for nursing homes to create individualized care plans for residents) Process , revised date 10/1/2019, indicated the purpose if the P&P is to ensure that the RAI is used, in accordance with specified format and timeframes, in conducting comprehensive assessments as part of an ongoing process through which the facility identifies each resident's preferences and goals of care, functional and health status, strengths and needs, as well as offering guidance for further assessment once problems have been identified.
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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.