Granada Hills Convalescent

In the surveyor’s words

From the most serious findings on record at Granada Hills Convalescent, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 2, 2023

  Based on interview, and record review, the facility failed to provide a safe environment to prevent an accident for one of three sampled residents (Resident 27) by transferring Resident 27 without two staff when using a lift machine. On 6/12/2023, at 6:20 p.m. Certified Nursing Assistant 1 (CNA 1) transferred by herself Resident 27 using a Hoyer lift (a brand name for a mobile floor lift system [assistant device] that rolls on wheels [metal frame] and is intended to help lift, suspend with a sling, and transfer residents with mobility problems to transfer from and to bed. During two-person operation, one person engages the unit's controls while the other person handles and guides the individual being transferred). […]

• No harm, potential for more than minimal, widespreadF908Jul 30, 2021

  Based on observation, interview, and record review, the facility failed to maintain one of two laundry dryer machines free from lint buildup. This failure resulted in the ignition of lint, production, and release of smoke on 6/9/2021 at 7:11 p.m. placing the total census of 35 residents at risk for [CONDITION(S)] or smoke inhalation had the fire spread throughout the facility. Findings: On 6/10/2021, at 12:41 p.m., during an interview, Laundry Aide 1 (LA 1) stated that on 6/9/2021 at 7:11 p.m., she heard the fire alarm while walking on the hallway of the facility. She opened the door to the laundry room to investigate and saw smoke inside. She pulled the closest manual pull alarm and informed the charge nurse of the smoke. […]

• No harm, potential for more than minimal, widespreadF921Jul 30, 2021

  Based on observation and interview, the facility failed to maintain laundry room door in good operating condition to allow the door to positively latch. Hazardous areas include rooms or spaces larger than 50 square feet used for storage of combustible supplies and equipment and central laundries greater than 100 square feet. In the event of a fire, containment of smoke and fire would not be achieved with non-latching doors in hazardous areas. This deficient practice affected one of two smoke compartments placing the total census of 35 residents at risk for [CONDITION(S)] or smoke inhalation had fire spread throughout the facility. […]

• No harm, potential for more than minimal, patternF604Nov 18, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents were treated with respect and dignity including the right to be free from physical restraints (any manual method, physical or mechanical device, material or equipment that is attached or adjacent to the resident's body that he or she cannot easily remove that restricts freedom of movement or normal access to one's body) for two of two sampled residents (Residents 6 and 19) reviewed for physical restraints care area by failing to ensure: 1. […]

• No harm, potential for more than minimal, patternF656Nov 18, 2025

  Based on interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan (a personalized document that outlines a person's health needs, the goals for their care, and the specific steps to achieve them) for three of four sampled residents (Residents 43,19, and 3) reviewed for care plans by failing to ensure: 1. Resident 43 had a care plan for medication self-administration. 2. Resident 19 had care plan on the use of restraint (is any action, device, or medication that limits a resident's ability to move freely or control their own body, and which they cannot easily remove themselves) bed placed against the wall. 3. […]