A list of the most recent deficiencies for La Brea Rehabilitation Center. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-11-22 | 2023-12-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-22 | 2023-12-22 | Y |
| 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 | 2023-11-22 | 2023-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-21 | 2023-12-20 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-16 | 2023-12-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-26 | 2023-11-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-26 | 2023-11-27 | Y |
| 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 | 2023-08-22 | 2023-09-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-22 | 2023-09-20 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-08-22 | 2023-09-20 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-22 | 2023-09-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-05 | 2023-08-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-23 | 2023-07-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-23 | 2023-07-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-23 | 2023-07-23 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-06-23 | 2023-07-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-12 | 2023-06-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-12 | 2023-06-11 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-10 | 2023-06-10 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-08 | 2023-04-08 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-07 | 2023-03-07 | Y |
| 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 | 2023-01-30 | 2023-03-02 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-01-25 | 2023-02-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-30 | 2023-01-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-26 | 2022-11-17 | Y |
| 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 | 2022-10-06 | 2022-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-21 | 2022-10-21 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-07-14 | 2022-08-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-02 | 2022-06-16 | Y |
| 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 | 2022-01-05 | 2022-01-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-09 | 2022-01-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-09 | 2022-01-05 | 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 | 2021-12-09 | 2022-01-05 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-12-09 | 2022-01-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-12-09 | 2022-01-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-12-09 | 2022-01-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-09 | 2022-01-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-09 | 2022-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2022-01-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-12-09 | 2022-01-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-12-09 | 2022-01-05 | 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 | 2021-12-09 | 2022-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2022-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-05 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-09 | 2022-01-05 | 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 | 2021-12-09 | 2022-01-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-09 | 2022-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-09 | 2022-01-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-09 | 2022-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-09 | 2022-01-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-30 | 2021-10-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-04 | 2021-09-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-29 | 2021-08-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-29 | 2021-08-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-22 | 2019-10-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-22 | 2019-10-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-08-22 | 2019-10-18 | 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 | 2019-08-22 | 2019-10-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-22 | 2019-10-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-22 | 2019-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-22 | 2019-10-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-08-22 | 2019-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-22 | 2019-10-18 | 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 | 2019-08-22 | 2019-10-18 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-08-22 | 2019-10-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-22 | 2019-10-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-22 | 2019-10-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-22 | 2019-10-18 | 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 | 2019-08-22 | 2019-10-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-22 | 2019-10-18 | 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 | 2019-08-22 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-10-18 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-08-29 | 2019-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-29 | 2019-09-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Develop a communication plan. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-01 | 2018-09-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-24 | 2018-09-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-24 | 2018-09-21 | 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 | 2018-08-24 | 2018-09-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-24 | 2018-09-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-24 | 2018-09-21 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-08-24 | 2018-09-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-08-24 | 2018-09-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-24 | 2018-09-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-24 | 2018-09-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-24 | 2018-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-24 | 2018-09-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-08-24 | 2018-09-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-24 | 2018-09-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-24 | 2018-09-21 | 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 | 2018-08-24 | 2018-09-21 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-08-24 | 2018-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-24 | 2018-09-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-24 | 2018-09-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-02-21 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-21 | Not Fixed | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-21 | Not Fixed | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-21 | Not Fixed | 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 | 2022-02-21 | Not Fixed | N |
