Nursing Home News — Page 442

Federal inspectors found the unsecured medication during a 5 a.m.

The Administrator told inspectors he investigated the incident alongside the Director of Nursing by reviewing progress notes and speaking with LVN B.

"I don't know why he just walked up and hit me," the resident told staff afterward.

Federal inspectors observed CNA D providing incontinence care to Resident #5 on September 30.

She also had severe cognitive impairment and could rarely be understood when she tried to speak.

The LVN, identified in inspection records as LVN A, said she didn't know the aide's name but knew they worked on the 400 hallway.

The resident presented with excessive worry, restlessness, irritability and impaired concentration during psychological visits.

The chest harness was custom-made for the resident's wheelchair and could not be easily removed by the person wearing it.

Immediate jeopardy means inspectors determined the facility's practices posed imminent risk to resident health or safety.

Resident #1 received regular-textured meals daily despite physician orders for bolus feedings only twice per day.

The incident at Southern California Hospital at Culver City involved a resident admitted on May 29, 2025, with acute respiratory failure.

Federal inspectors found the facility failed to protect residents from abuse.