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Health Inspection

Whittier Pacific Care Center

January 31, 2025 · Whittier, CA · 7716 S Pickering Avenue
Citations 2
CMS Rating 2/5
Beds 105
Provider ID 055764
Healthcare Facility
Whittier Pacific Care Center
Whittier, CA  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF677
Minimal harm or falls/prevent injuries, observe resident behavior, frequent supervision/monitoring. Few of his room and falling over plastic yellow Wet Floor sign placed in front of Resident 198's room doorway. affected

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

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WHITTIER, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WHITTIER PACIFIC CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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