Los Angeles Comm Hospital

In the surveyor’s words

From the most serious findings on record at Los Angeles Comm Hospital, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF730Nov 4, 2022

  Based on interview and record review, the facility failed to maintain an effective tracking system to ensure the Restorative Nursing Aides ([RNAs]) received twelve hours of mandatory in-service training. This was identified for one of one RNA personnel files reviewed. This deficient practice had the potential to result in inadequate care and services provided to residents. Findings: During a concurrent interview with the Director of Staff Development (DSD) and record review of the Yearly In- Service Training Calendar, on 11/13/2022 at 1:18 p.m., the DSD stated he followed and provided training's indicated on the calendar. The DSD stated he in- serviced new staff upon hire regarding dementia care. The DSD stated he could not locate the in-service training file for RNAs. […]

• No harm, potential for more than minimal, widespreadF803Nov 4, 2022

  Based on observation, interview, and record review, the facility failed to: 1.Follow an approved and updated recipe during food preparation. 2.Review and update the recipe binder the cook used to prepare food. These failures had the potential for residents to not receive the food prepared to meet individual needs. Findings: During an initial tour on 11/1/2022 at 10:14 a.m., and concurrent interview with Cook (CK 1), observed Cook (CK 1) preparing lunch food with no menu and recipe around the kitchen area. […]

• No harm, potential for more than minimal, widespreadF812Nov 4, 2022

  Based on observation, interview, and record review, the facility failed to ensure safe food preparation practices in the kitchen when: A. The big can opener has black sticky substance in it. B. Dietary Staff such as cook (CK), and assistant cook (ACK) was not wearing a hair net under the chef's hat during food preparation to fully cover exposed hair. C. Several food items and bulk items were not dated, labeled, and sealed after opened in the food preparation area, walk in freezer and dry storage area. D. […]

• No harm, potential for more than minimal, patternF880Feb 6, 2026

  Based on observation, interview, and record review, the facility failed to follow infection control and Enhanced Barrier Precaution (EBP- an infection control intervention designed to reduce transmission of multidrug-resistant organisms [MDROs] in nursing homes) protocols for two of six residents (Resident 23 and Resident 2), by not wearing the required personal protective equipment (PPE- clothing and equipment that is worn or used to provide protection against hazardous substances and/or environments) during suctioning and not maintaining proper infection control practices during wound care.These deficient practices placed Residents 23 and 2 and other residents at increased risk for infection.Findings: 1. […]

• No harm, potential for more than minimal, patternF880Nov 24, 2024

  Based on observation, interview, and record review the facility failed to: 1. Ensure Resident 19's peripheral line (a small flexible tube inserted into a vein near the skin surface to administer fluids and medications) to his right forearm dressing was changed every 72 hours (three days) per policy and procedure. 2. Ensure Resident 17's peripheral line to his right-hand dressing was changed every 72 hours per policy and procedure. 3. Ensure the Medication Cart (Cart 1) was cleaned after a sticky liquid medication had spilled onto other medications. These deficient practices of not changing the peripheral lines dressing placed Resident 19 and 17 at risk for infection at the insertion site. […]