Whittier Pacific Care Center
WHITTIER PACIFIC CARE CENTER in WHITTIER, CA — inspection on August 16, 2024.
Found 6 citations. 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 review of the facility's policy and procedure (P&P) titled Change in a Resident's Condition or Status, dated March 2023, indicated, the facility will promptly notify the resident, their attending physician, and the resident representative of changes in the resident's medical/mental and/or status.
The P&P indicated the nurse will notify the resident's attending physician or physician on call when there has been an accident or incident involving the resident.
The P&P indicated the nurse will make detailed observations and father relevant information for the provider, including information prompted by the Interact SBAR communication Form.
055764 08/16/2024
Whittier Pacific Care Center 7716 S Pickering Avenue Whittier, CA 90602
During a review of Resident 5 ' s care plans, the care plans did not show any documented evidence of the grievance recommendations for the nursing supervisors to conduct rounds to ensure safety and noise levels within adequate range.
During an interview on 8/16/2024 at 12:50 PM with the Registered Nurse (RN) 1 and the Licensed Vocational Nurse (LVN) 2, the RN 1 and LVN 2 stated they were unaware of monitoring FM 2 ' s behavior regarding the television volume and the privacy curtain. RN 1 and LVN 2 stated they were not aware of documenting the conduct rounds to ensure safety measures are being followed and noise levels are within an adequate range.
During an interview on 8/16/2024 at 2:43 PM with the ADM, the ADM stated the nursing staff was aware of the grievance and situation between FM 1 and FM 2 which should had been addressed in the resident ' s care plan to monitor Resident 5 ' s behavior and assess the noise level in the room to prevent conflict between two family members.
During a review of the facility ' s policy and procedure (P&P) titled, Care Plans, Comprehensive Person-Centered, date March 2023, indicated assessments of residents are ongoing and care plans are revised as information about the resident and residents ' conditions changes.
The P&P indicated the interdisciplinary team reviews and updates the care plan when there has been a significant change in the resident ' s condition.
055764 08/16/2024
Whittier Pacific Care Center 7716 S Pickering Avenue Whittier, CA 90602
During an interview on 8/16/2024 at 2:53 PM, the Director of Nursing (DON) stated if a resident had a bowel movement the CNAs would use a reusable wash cloth to clean the resident.
The DON stated the CNA would not touch the wound but would inform the treatment nurses to re-dress the resident ' s wound.
The DON stated if the bowel movement were to get on the wound, the facility would use gauze and NS to clean the wound, not the reusable wash cloth.
A review of the facility ' s policy and procedure (P&P) titled Prevention of Pressure Injuries dated March 2023, indicated Prevention: clean promptly after episodes of incontinence, use a barrier product to protect skin from moisture, and do not rub or otherwise cause friction on skin that is at risk of pressure injuries.
A review of the facility ' s P&P titled Activities of Daily Living (ADL), Supporting dated March 2023, indicated Resident who were unable to carry out activities of daily living independently would receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene.
The P&P indicated Appropriate care and services would be provided for residents who were unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with: elimination (toileting).
A review of the facility ' s P&P titled Wound Care dated March 2023, indicated The purpose of this procedure was to provide guidelines for the care of wounds to promote healing.
The P&P indicated The following equipment and supplies would be necessary when performing this procedure.
Dressing material, as indicated (i.e. gauze) and disposable cloths.
The P&P indicated steps in the procedure include Remove dry gauze.
Apply treatments as indicated.
Dress wound.
Pick up sponge and apply directly to area. Be certain all clean items were on a clean field.
Remove the disposable cloth next to the resident and discard into the designated container.
055764 08/16/2024
Whittier Pacific Care Center 7716 S Pickering Avenue Whittier, CA 90602
g.
Frequency and number of falls since last physician visit;
h.
Precipitating factors, details on how fall occurred; i.
All current medications, especially those associated with dizziness or lethargy; and j.
All active diagnoses
- The staff will evaluate and document falls that occur while the individual is in the facility; for
example, when and where they happened, any observations of the events, etc.appened, any observations of the events, etc.
055764 08/16/2024
Whittier Pacific Care Center 7716 S Pickering Avenue Whittier, CA 90602
and to reduce risks for devise and procedure-related infections.
During a review of Resident 1 ' s Admission Record (Face Sheet), indicated the facility admitted Resident 1 on 1/25/2019 and readmitted her on 8/9/2024 with diagnoses that included muscle weakness, osteoarthritis (tissue in the joints break down over time) of the left ankle and foot, and unspecified dementia (a decline in mental function that affects a person ' s ability to think, remember, make decisions, and can interfere with their daily activities).
During a review of Resident 1 ' s History Physical Examination (HPE, a comprehensive physician ' s note regarding the assessment of the resident ' s health status), dated 11/30/2023, Resident 1 does not have the capacity to understand and make decision.
During a review of Resident 1 ' s Minimum Data Set (MDS, a standardized assessment and care screening tool), dated 8/3/2024, indicated Resident 1 had moderately impaired cognition ( ability to think and reason).
The MDS indicated Resident 1 required supervision (the helper provided verbal cues or contact guard assistance as resident completes the activity) when showering, set up assistance (the helper set ups or cleans up; resident completes activity) with personal hygiene, upper and lower body dressing, and personal hygiene, and independent when eating and putting on/taking off footwear.
The MDS indicated that Resident 1 did not have any falls since admission.
055764
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 055764 B.
Wing 08/16/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Whittier Pacific Care Center 7716 S Pickering Avenue Whittier, CA 90602
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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.