Kei-Ai los Angeles Healthcare Center

In the surveyor’s words

From the most serious findings on record at Kei-Ai los Angeles Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Aug 19, 2021

  Based on observation, interview, and record review, the facility failed to implement interventions to prevent and control the spread of COVID-19 (Coronavirus disease, a severe respiratory illness caused by a virus and transmitted from person to person) in accordance with the facility's policy and their Mitigation Plan (MP, a plan to reduce loss of life and impact of COVID-19 in the facility) for three residents (Resident 1, Resident 2, and Resident 3) out of a total of 110 residents in the yellow zone by failing to: a. […]

• Immediate jeopardy, isolatedF689Dec 28, 2023

  Based on interview, and record review, the facility failed to provide supervision for one of three sampled residents (Resident 458), who had dementia (impaired ability to remember, think, or make decisions that interferes with doing everyday activities), psychosis (a mental disorder characterized by a disconnection from reality), Alzheimer's Disease (the most common type of dementia, a progressive disease beginning with mild memory loss and possibly leading to loss of the ability to carry on a conversation and respond to the environment), and history of falls, with a history of hip fracture, status post hemiarthroplasty (partial hip replacement) on 11/27/2023, received care, treatment, and services in accordance with professional standards of practice by failing to: -Provide a 1:1 sitter… […]

• Immediate jeopardy, isolatedF684Feb 21, 2023

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 111), who had a medical history of an epidural abscess (an infection inside or near the spine that requires immediate treatment) received care, treatment, and services in accordance with professional standards of practice by failing to: -Ensure discharge orders from the hospital were verified with a Medical Doctor (MD), which includes Bactrim (a medication consisting of a combination of two antibiotics, used to treat bacterial infections, one of the few antibiotics that are available to treat Methicillin-Resistant Staphylococcus Aureus [MRSA - an infection that is difficult to treat because of resistance to some antibiotics]). […]

• Actual harm, isolatedF689Feb 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1), who had a history of falls, was cognitively impaired (had impairment in the ability to think, understand, and reason), had poor safety awareness, and required assistance with transferring and toileting was provided with the necessary care and services necessary to prevent falls. By failing to: 1. Follow the Physician's Order dated 11/27/2024 for Resident 1 to receive visual checks every 30 minutes for fall management after Resident 1 had an unwitnessed fall on 11/25/2024. 2. […]

• Actual harm, isolatedF744Sep 12, 2024

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1), who had diagnosis of vascular dementia (a type of dementia that occurs when the brain's blood supply has been damaged, causing a lack of oxygen and nutrients to brain cells and marked by memory disorder, personality changes, and impaired reasoning), history of falls, and a high fall risk, was provided with the necessary care needs and services. The facility failed to: -Develop an appropriate care plan for Resident 1's Dementia through an Interdisciplinary Team (IDT) approach, with appropriate interventions including implementation of individualized care and maximizing the resident's safety. […]