Chatsworth Park Health Care Center

In the surveyor’s words

From the most serious findings on record at Chatsworth Park Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 19, 2024

  Based on interview and record review, the facility failed to protect a resident's right to be free from physical abuse (deliberately aggressive or violent behavior with the intention to cause harm) for one of three sampled residents (Resident 100) when on 4/7/2024, Resident 106 pulled the hair of Resident 100 causing Resident 100 to fall on the floor. This deficient practice resulted in Resident 100 being subjected to physical abuse by Resident 106 while under the care of the facility. […]

• No harm, potential for more than minimal, widespreadF880Jan 5, 2022

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of COVID-19 (a [CONDITION(S)] infection, highly contagious, that easily transmits from person to person, causing respiratory problems and may cause death) by: 1. Not ensuring visitors in the Yellow Zone (quarantine room for new admission, readmissions or residents that had close contact with a COVID-19) room were using proper personal protective equipment (PPE - equipment worn to minimize exposure to hazards that cause serious workplace injuries and illnesses). 2. […]

• No harm, potential for more than minimal, widespreadF880Nov 15, 2021

  Based on interview and record review, the facility failed to monitor and screen for signs and symptoms of COVID-19 (Coronavirus Disease 2019, a highly contagious [CONDITION(S)] infection transmitted from person to person, affecting the respiratory system and capable of producing severe symptoms, and in some cases death) all employees before starting their workday, as per its infection control policy. This deficiency placed increased risk of spreading COVID-19 infection to residents, employees, and visitors. […]

• No harm, potential for more than minimal, widespreadF885Nov 15, 2021

  Based on interview and record review, the facility failed to implement its COVID-19 (Coronavirus Disease 2019, a highly contagious [CONDITION(S)] infection transmitted from person to person, affecting the respiratory system and capable of producing severe symptoms, and in some cases death) notify residents and/or their representatives of the cumulative updates at least weekly or by 5 p.m. the next calendar day following, or whenever three or more residents or staff with new onset of respiratory symptoms occurred within 72 hours. This deficient practice resulted in residents, families, and resident representatives not receiving timely notification of the status and impact of COVID-19 in the facility. […]

• No harm, potential for more than minimal, patternF880Aug 12, 2026

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program for three of seven sampled residents (Resident 1, Resident 2, and Resident 5) when: 1. Resident 1 defecated on the floor when sitting in a shower chair and Certified Nursing Assistant 2 (CNA 2) and CNA 3 failed to inform housekeeping to disinfect the floor, and Resident 5 walked by using the walker in the same spot the feces was smeared. 2. Restorative Nursing Assistant 1 (RNA 1) placed personal belongings in the residential dining room closet. 3. […]