Whittier Pacific Care Center
WHITTIER PACIFIC CARE CENTER in WHITTIER, CA — inspection on January 31, 2025.
Found 2 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 Resident 198's History and Physical [H&P] dated 1/17/2025, the H&P indicated the resident is able to make decisions for activities of daily living.
During a review of Resident 198's Minimum Data Set (MDS, a resident assessment tool), dated 1/20/2025, indicated Resident 198 used a walker and wheelchair.
The MDS indicated Resident 198 required partial/moderate assistance (helper does less than half the effort) for toileting, shower, lower body dressing, putting on/taking off footwear and personal hygiene.
The MDS indicated Resident 198 required supervision or touching assistance (helper provides verbal cues and or touching/steadying and/or contact guard assistance as resident completes activities).
During a review of Resident 198's Admission Fall Risk assessment dated [DATE] timed at 1:21 PM, indicated the resident was considered at high risk for potential falls due to intermittent confusion or poor safety awareness/non compliance, history of falls in the last 12 months, incontinent/needing assistance for toileting, unable to stand without assistance/unsteady gait (a persons manner of walking)/poor sitting or standing balance and use of medications
During a review of Resident 198's Admission Fall Risk assessment dated [DATE] timed at 1:21 PM, indicated the resident was considered at high risk for potential falls due to intermittent confusion or poor safety awareness/noncompliance, history of falls in the last 6 months.
During a review of Resident 198's Actual Fall care plan initiated on 1/26/2025, The care plan indicated Resident 198 had an actual fall related to balance deficit, cognitive impairment, decrease strength and noncompliance with request for assistance poor safety awareness/judgement and unsteady gait.
The care plan interventions included Bowel and Bladder retraining as indicated, toileting program as indicated.
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 01/31/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Whittier Pacific Care Center 7716 S Pickering Avenue Whittier, CA 90602
During an interview on 1/31/2025 at 6:45PM with the Administrator (ADM) and the DON, the ADM and the DON stated the facility was not aware of the continued issues related to RNA services such as the RNA was removed from his/her duties to perform CNA task and that residents were not provided RNA assisted exercises, service and the devices as ordered by the physician.
The DON stated, it was only identified this week when the surveyors identified the issue.
During an interview on 1/31/2025 at 6:45PM with the DON, the DON stated MRD conducted the RNA audits by looking at the RNA record in the Electronic Medical Records (EMR) system.
The DON stated the RNA services program was a collaboration between the DSD and the Director of Rehabilitation (DOR) services.
The DON stated, the DSD and DON review the RNA orders with the assigned RNA but they were unaware the physician orders were being transcribed incorrectly into the RNA record in the EMR system.
The DON stated she was in charge of the oversight of the RNA services, but she failed to identify concerns regarding the residents not receiving the RNA services as ordered by the physician.
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 01/31/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Whittier Pacific Care Center 7716 S Pickering Avenue Whittier, CA 90602