Hollywood Premier Healthcare Center

In the surveyor’s words

From the most serious findings on record at Hollywood Premier Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Sep 12, 2025

  Based on interview and record review, the facility failed to ensure one of four sampled residents (Resident 1) was free from sexual abuse (non-consensual sexual contact of any type or sexual harassment) from Resident 2 who had a history of inappropriate sexual behavior of walking around the facility with his genitals (sexual organs) out and masturbating (stimulate own genitals for sexual pleasure) excessively (extremely) while residing in the facility. On 9/6/2025 at approximately 3:55 AM to 4 AM, Certified Nursing Assistant 1 (CNA1) heard grunting (mumbling)/moaning from Resident 1's room (who was nonverbal). CNA1 observed Resident 2 on top of Resident 1 who was in a supine (lying face up) position between Resident 1's legs naked from the waist down on Resident 1's bed. […]

• Immediate jeopardy, isolatedF607Sep 12, 2025

  Based on interview and record review, the facility failed to implement its policies and procedures to prohibit and prevent sexual abuse (non-consensual sexual contact of any type or sexual harassment), for one of four sampled residents (Resident 1) by failing to: -Ensure to closely monitor Resident 2 who had a history of inappropriate sexual behavior of walking around the facility with his genitals (sexual organs) out and masturbating (stimulate own genitals for sexual pleasure) excessively (extremely) while residing in the facility. -Ensure Resident 1 was free from sexual abuse from Resident 2. […]

• Actual harm, isolatedF600Mar 18, 2025

  Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from physical abuse (deliberate, aggressive, or violent behavior with the intention to cause harm) for one of three sampled residents (Resident 2), who was subjected to Resident 1's physical attack, who had diagnoses of schizophrenia (a serious mental disorder in which people interpret reality abnormally, may result in delusions and behavior that impairs daily functioning, may have grandiose delusions [strong beliefs of things that are untrue]). […]

• Actual harm, isolatedF600Jan 27, 2023

  Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from physical abuse by Certified Nursing Assistant 1 (CNA) for one of two sampled residents (Resident 1). CNA 1 grabbed the back collar of Resident 1's gown (who was severely cognitively impaired [never/rarely made decisions]) and pushed Resident 1 into the resident's room. As a result, on 11/24/2022, Resident 1 was evaluated for injury or distress, was at risk for negative psychological impact due to alleged physical abuse. […]

• Actual harm, isolatedF600Dec 7, 2022

  Based on interview and record review, the facility failed to ensure one of two sampled residents (Resident 1), who had diagnoses including epilepsy (seizure disorder), was not subjected to physical and mental abuse inflicted by Resident 2. On 10/12/2022, at 2 AM., Resident 2 physically abused Resident 1 on by hitting Resident 1 in the head causing pain and bleeding. Resident 1 was transferred to the General Acute Care Hospital (GACH) where he received treatment for the laceration to the head. As a result, Resident 1 was subjected to physical abuse by Resident 2 while under the care of the facility. Resident 1 was subjected to physical assault, had physical pain, and was at risk for negative psychological impact due to the physical altercation. […]