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Deficiency Records for Los Feliz Healthcare and Wellness Center, LP

A list of the most recent deficiencies for Los Feliz Healthcare and Wellness Center, LP. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Los Feliz Healthcare and Wellness Center, LP. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-28 2024-07-28 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-06-28 2024-07-28 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-06-28 2024-07-28 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-06-28 2024-07-28 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2024-06-28 2024-07-28 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-06-28 2024-07-28 N
Ensure each resident receives an accurate assessment. Health 2024-06-28 2024-07-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-28 2024-07-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-06-28 2024-07-28 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-06-28 2024-07-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-28 2024-07-28 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2024-06-28 2024-07-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-28 2024-07-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-28 2024-07-28 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-06-28 2024-07-28 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-06-28 2024-07-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-28 2024-07-28 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-06-28 2024-07-28 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-06-28 2024-07-28 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-06-28 2024-07-28 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2024-06-28 2024-07-28 N
Ensure that residents are free from significant medication errors. Health 2024-06-28 2024-07-28 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-06-28 2024-07-28 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-06-28 2024-07-28 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-06-28 2024-07-28 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2024-06-28 2024-07-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-28 2024-07-28 N
Dispose of garbage and refuse properly. Health 2024-06-28 2024-07-28 N
Provide and implement an infection prevention and control program. Health 2024-06-28 2024-07-28 N
Keep all essential equipment working safely. Health 2024-06-28 2024-07-28 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-06-28 2024-07-28 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-07-02 2024-07-28 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2024-07-02 2024-07-28 N
Install an approved automatic sprinkler system. Fire Safety 2024-07-02 2024-07-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-02 2024-07-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-02 2024-07-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-05 2024-06-18 Y
Respond appropriately to all alleged violations. Health 2024-06-05 2024-06-18 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-05-03 2024-05-31 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-03 2024-05-31 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-09 2024-02-02 Y
Provide and implement an infection prevention and control program. Health 2024-01-09 2024-02-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-12 2023-12-31 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-27 2023-11-25 Y
Provide and implement an infection prevention and control program. Health 2023-10-05 2023-11-02 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-15 2023-09-14 Y
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-08-15 2023-09-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-05 2023-06-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-19 2023-06-16 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-25 2023-05-25 Y
Ensure that residents are free from significant medication errors. Health 2023-04-24 2023-05-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-05 2023-04-20 Y
Provide and implement an infection prevention and control program. Health 2023-04-05 2023-04-20 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-23 2023-04-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-21 2023-03-20 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-18 2023-02-16 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-16 2022-12-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-11-16 2022-12-01 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-11-16 2022-12-01 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-08-05 2022-08-19 Y
Provide and implement an infection prevention and control program. Health 2022-07-13 2022-08-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-07-12 2022-08-02 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-04-08 2022-04-28 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-04-08 2022-04-28 N
Keep residents' personal and medical records private and confidential. Health 2022-04-08 2022-04-28 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-04-08 2022-04-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-04-08 2022-04-28 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-04-08 2022-04-28 N
Ensure each resident receives an accurate assessment. Health 2022-04-08 2022-04-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-08 2022-04-28 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-04-08 2022-04-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-08 2022-04-28 N
Provide appropriate foot care. Health 2022-04-08 2022-04-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-08 2022-04-28 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-04-08 2022-04-28 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-08 2022-04-28 N
Ensure that residents are free from significant medication errors. Health 2022-04-08 2022-04-28 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2022-04-08 2022-04-28 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-04-08 2022-04-28 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-04-08 2022-04-28 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-04-08 2022-04-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-08 2022-04-28 N
Provide and implement an infection prevention and control program. Health 2022-04-08 2022-04-28 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-04-07 2022-04-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-04-07 2022-04-28 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-04-07 2022-04-28 N
Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. Fire Safety 2022-04-07 2022-04-28 N
Install an approved automatic sprinkler system. Fire Safety 2022-04-07 2022-04-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-04-07 2022-04-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-07 2022-04-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-04-07 2022-04-28 N
Have proper medical gas storage and administration areas. Fire Safety 2022-04-07 2022-04-28 N
Ensure that sources of ignition are removed from patients receiving respiratory therapy. Fire Safety 2022-04-07 2022-04-28 N
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2022-04-07 2022-04-25 N
Provide and implement an infection prevention and control program. Health 2022-03-07 2022-03-21 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2021-12-05 2021-12-15 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-04-08 2019-05-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-08 2019-05-01 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2019-04-08 2019-05-01 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2019-04-08 2019-05-01 N
Provide enough food/fluids to maintain a resident's health. Health 2019-04-08 2019-05-01 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-04-08 2019-05-01 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2019-04-08 2019-05-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-04-08 2019-05-01 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-04-08 2019-05-01 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2019-04-08 2019-05-01 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2019-04-08 2019-05-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-08 2019-05-01 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-04-08 2019-05-01 N
Provide and implement an infection prevention and control program. Health 2019-04-08 2019-05-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-04-03 2019-04-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-04-03 2019-04-20 N

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