Santa Anita Convalescent Hospital
SANTA ANITA CONVALESCENT HOSPITAL in TEMPLE CITY, CA — inspection on May 29, 2026.
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 a concurrent observation in Resident 338's room and interview in Resident 338's room on 5/26/2026 at 3:02 PM, Certified Nursing Assistant (CNA) 5 stated the resident's bed was not locked and it should have been locked otherwise the bed could have moved and the resident could have fallen.
During an interview on 5/26/2026 at 3:16 PM, Licensed Vocational Nurse (LVN) 18 stated Resident 338's bed was not locked because the bed brake indicator was in a horizontal position. LVN 18 stated the resident's brakes should have always been locked otherwise the resident could have fallen and have an injury or worse.
During an interview on 5/28/2026 at 4:35 PM, the Director of Nursing (DON) stated bed safety features included for the bed to be lowered to the ground, and ensuring the beds were locked.
The DON stated Resident 338's bed did not seem to be locked but should have been to prevent staff and resident injury.
The DON stated if the bed was not locked, Resident 338 could have had a fall or fracture (break in the bone) and the resident could have been scared.
During a concurrent interview and record review on 5/28/2026 at 4:49 PM with the DON, the facility's policy and procedure (P&P) titled Fall Management Program dated 6/1/2017 was reviewed.
The P&P indicated the purpose of the P&P was to prevent resident falls and minimize complications associated with falls through the development of a Fall Management Program.
The P&P also indicated the policy of the facility was to provide the highest quality of care in the safest environment for the residents residing in the facility.
The P&P indicated universal fall prevention measured for all residents included placing the residents bed in the lowest position with the brakes locked.
The DON stated the facility staff were not following the policy but should have been to prevent fall and injury like a fracture.
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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.