La Canada Care Center

In the surveyor’s words

From the most serious findings on record at La Canada Care Center, in the surveyor’s own words.

• Actual harm, isolatedF684Jan 21, 2026

  Based on clinical record review, interviews, review of facility documentation and policy and procedures, the facility failed to ensure medications administered to 1 of 3 sampled residents (#20) had physician orders. The census was 101. The deficient practice resulted in resident hospitalization due to a change in resident's condition.Findings include:Resident #20 was admitted [DATE] with diagnoses of metabolic encephalopathy, essential tremor, epilepsy, dementia, spinal stenosis, cognitive communication deficit and syncope and collapse.The history & physical note dated January 12, 2026 included the resident was admitted at the facility for inpatient rehabilitation; and that, all medications were reviewed and reconciled. […]

• Actual harm, isolatedF760Jan 21, 2026

  Based on clinical record review, interviews, review of facility documentation and policy and procedures, the facility failed to ensure 1 of 3 sampled residents (#20) was free from a significant medication error. The deficient practice could result in harm to the resident.Findings include:Resident #20 was admitted [DATE] with diagnoses of metabolic encephalopathy, essential tremor, epilepsy, dementia, spinal stenosis, cognitive communication deficit and syncope and collapse.The physician order summary report active as of January 16, 2026 included the following medications:Acidophilus (Lactobacillus-probiotics), 1 tablet by mouth one time a day for probioticB-complex w/biotin & folic acid (supplement), 1 tablet by mouth one time a day for supplementClopidogrel bisulfate (antiplatelet) 75 mg… […]

• No harm, potential for more than minimal, widespreadF732Apr 24, 2026

  NOT REVIEWED BY 22 Based on facility documentation, staff interviews, and policy review, the facility failed to ensure that daily staff posting information was accurate for total numbers of direct care staff, actual hours worked by direct care staff, and actual staffing totals worked by licensed and unlicensed direct care nursing staff for 9 out of 9 days reviewed. The census was 92. The deficient practice could result in residents, visitors, and facility staff not being informed of accurate and current staffing information. […]

• No harm, potential for more than minimal, patternF584Mar 5, 2026

  Based on observations, interviews, and policy review, the facility failed to provide housekeeping services necessary to maintain a clean and homelike environment for residents in three of four resident rooms and hallways. This deficient practice can increase the risk of infection, and not provide the residents with a safe and clean environment. Findings Include:A complaint received on the online complaint portal system, dated January 2, 2026, revealed that the facility did not seem to have enough staff to keep the facility clean, and that the overall cleanliness of the facility is not good. Additionally, the complainant revealed that staff would not clean up the floor after her meal tray spilled. […]

• No harm, potential for more than minimal, patternF645Oct 14, 2022

  Based on clinical record reviews, staff interviews, and review of policy, the facility failed to ensure that Preadmission Screening and Resident Reviews (PASRR) were completed as required for 3 residents (#57, #34, and #41). The sample size was 3. The deficient practice increases the risk for residents being inappropriately placed into nursing facilities and/or not receiving the services they need. Findings include: -Resident #57 was readmitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Level 1 PASRR dated 03/06/21 indicated the resident did not have serious mental illness, including [CONDITION(S)]. […]