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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