Deficiency Records for Kei-Ai Los Angeles Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Kei-Ai Los Angeles Healthcare 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-28 | 2024-01-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-28 | 2024-01-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-28 | 2024-01-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-28 | 2024-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-28 | 2024-01-23 | 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 | 2023-12-28 | 2024-01-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-28 | 2024-01-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-28 | 2024-01-23 | 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 | 2023-12-28 | 2024-01-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-28 | 2024-01-23 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-12-28 | 2024-01-23 | 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 | 2023-12-28 | 2024-01-23 | 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 | 2023-12-28 | 2024-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-28 | 2024-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-28 | 2024-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-28 | 2024-01-23 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-28 | 2024-01-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-18 | 2024-01-17 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-20 | 2024-01-12 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-12-20 | 2024-01-12 | 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 | 2023-12-17 | 2024-01-09 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-11-28 | 2023-12-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-15 | 2023-09-25 | Y |
| 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 | 2023-08-15 | 2023-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-18 | 2023-09-17 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-18 | 2023-09-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-27 | 2023-08-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-27 | 2023-08-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-05 | 2023-08-17 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-07-05 | 2023-08-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-06 | 2023-08-06 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-06 | 2023-08-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-12 | 2023-05-08 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-11 | 2023-05-08 | Y |
| 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 | 2023-02-21 | 2023-05-08 | 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 | 2023-02-21 | 2023-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-21 | 2023-05-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-04-07 | 2023-04-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-24 | 2023-04-05 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-02-21 | 2023-03-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-21 | 2023-03-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-21 | 2023-03-23 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-02-21 | 2023-03-23 | 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 | 2023-02-21 | 2023-03-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-21 | 2023-03-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-21 | 2023-03-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-21 | 2023-03-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-21 | 2023-03-23 | 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 | 2023-02-21 | 2023-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-21 | 2023-03-23 | 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 | 2023-02-21 | 2023-03-23 | 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 | 2023-02-21 | 2023-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-21 | 2023-03-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-21 | 2023-03-23 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-02-21 | 2023-03-23 | 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 | 2023-02-21 | 2023-03-23 | N |
| Post nurse staffing information every day. | Health | 2023-02-21 | 2023-03-23 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-02-21 | 2023-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-21 | 2023-03-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-21 | 2023-03-23 | 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 | 2023-02-21 | 2023-03-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-21 | 2023-03-23 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-02-21 | 2023-03-23 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-02-21 | 2023-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-21 | 2023-03-23 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-02-22 | 2023-03-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-22 | 2023-03-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-02-22 | 2023-03-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-02-22 | 2023-03-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-22 | 2023-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-22 | 2023-03-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-22 | 2023-03-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-22 | 2023-03-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-12 | 2023-03-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-08 | 2023-03-08 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-12-23 | 2023-01-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2023-01-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-06 | 2023-01-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-04 | 2023-01-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-04 | 2023-01-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-04 | 2023-01-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-12 | 2023-01-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-12 | 2023-01-12 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-30 | 2022-10-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-27 | 2022-10-26 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-09-26 | 2022-10-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-23 | 2022-10-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-16 | 2022-10-22 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-26 | 2022-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-09 | 2022-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-08 | 2022-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-09-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-29 | 2022-09-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-09-14 | 2022-09-23 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-08-04 | 2022-08-22 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-08-04 | 2022-08-22 | 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 | 2022-05-11 | 2022-06-12 | Y |
| Provide appropriate foot care. | Health | 2022-04-20 | 2022-06-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-04 | 2022-06-03 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-15 | 2022-05-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-21 | 2022-05-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-21 | 2022-05-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-08 | 2022-04-22 | 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 | 2022-03-07 | 2022-03-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-14 | 2022-01-21 | 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 | 2022-01-04 | 2022-01-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-11 | 2022-01-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-19 | 2021-12-22 | 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 | 2021-11-19 | 2021-12-22 | 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 | 2021-11-19 | 2021-12-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-19 | 2021-12-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-11-19 | 2021-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-19 | 2021-12-22 | 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 | 2021-11-19 | 2021-12-22 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-11-19 | 2021-12-22 | 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 | 2021-11-19 | 2021-12-22 | 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 | 2021-11-19 | 2021-12-22 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-19 | 2021-12-22 | 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 | 2021-11-19 | 2021-12-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-19 | 2021-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-19 | 2021-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2021-12-22 | N |
| Keep all essential equipment working safely. | Health | 2021-11-19 | 2021-12-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-11-19 | 2021-12-22 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-11-15 | 2021-11-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-01 | 2021-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-27 | 2021-11-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-10-27 | 2021-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-27 | 2021-08-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-27 | 2021-08-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-11 | 2021-07-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-11 | 2021-07-30 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-07-09 | 2021-07-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-09 | 2021-07-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-09 | 2021-07-23 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-07-06 | 2021-07-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-06 | 2021-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-14 | 2021-06-28 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-05-01 | 2021-05-18 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-05-07 | 2021-05-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-28 | 2021-04-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-04 | 2021-03-17 | Y |
