Hollywood Presbyterian Medical Center D/P SNF

In the surveyor’s words

From the most serious findings on record at Hollywood Presbyterian Medical Center D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF835Dec 12, 2024

  Based on interview and record review, the facility failed to ensure adequate administration services as the facility's administrator did not have an administrator's license and failing to ensure the facility had a designated administrator. The deficient practice had the potential for the facility resident's to not have their concerns and needs addressed in a timely manner. Cross Reference F725 Findings: A review of the Administrator's Job Description dated 3/20/2023, indicated she held the title of Chief Nursing Officer (CNO). […]

• No harm, potential for more than minimal, patternF761Dec 4, 2025

  Based on observation, interview and record review, the facility failed to ensure proper storage and disposal of expired medications and syringe for three of four medication carts (Medication Cart 3, Medication Cart 7, Medication Cart 9) by:1. Not discarding expired medication and 10 milliliter (mil- unit of measurement) syringes timely.2. Medication that did not have opened date and expiration date on the label were disposed accordingly in Medication Cart 7.3. Unopened insulin (a hormone that removes excess sugar from the blood, can be produced by the body or given artificially via medication) was stored properly when found in Medication Cart 7 and not in cold storage. 4. […]

• No harm, potential for more than minimal, patternF802Dec 4, 2025

  Based on observations, interviews, and record review the facility failed to ensure kitchen staff were trained and evaluated for competency skills when: 1.Food Service Worker (FSW2) did not know the proper sanitizer test strip (a small, chemically treated paper or plastic strip used to measure the concentration (strength) of a sanitizing solution) to use for the sanitizer solution (chemical mixture used after cleaning to reduce the number of harmful microorganisms, like bacteria, on food-contact surfaces to a level considered safe by public health standards) used to clean food contact surfaces. FSW2 did not follow manufactures guidance when testing the sanitizer solution used to clean food contact surfaces. […]

• No harm, potential for more than minimal, patternF812Dec 4, 2025

  Based on observation, interview and record review, the facility failed to ensure safe and sanitary food storage and distribution practices when:1. Five trays of expired raw cookie dough and four large bags of expired crumbled blue cheese were stored in the walk-in refrigerator.2. Two large boxes of raw chicken were thawing inside the walk-in refrigerator with no thaw date (date marked on frozen potentially hazardous food when it is removed from the freezer and placed under refrigeration to thaw).3. One bag of frozen mango was stored in the walk-in freezer with the bag open exposed to the freezer environment.4. Resident food was delivered from the main kitchen located in Building A to the facility located across the street in a food cart crossing through traffic and the public street. […]

• No harm, potential for more than minimal, patternF880Jan 29, 2025

  Based on observation, interview, and record review, the facility failed to ensure that proper personal protective equipment (PPE) was supplied and utilized by staff when showering a patient (Patient 1). This deficient practice regarding infection control protocols increases the risk of cross-contamination. Without proper PPE, staff and patients may be exposed to blood, bodily fluids, or other potentially infectious materials, increasing the likelihood of transmitting infections. This poses a potential threat to the safety and health of both patients and staff. […]