Los Feliz Healthcare & Wellness Center, LP

In the surveyor’s words

From the most serious findings on record at Los Feliz Healthcare & Wellness Center, LP, in the surveyor’s own words.

• Actual harm, isolatedF600May 3, 2024

  Based on observation, interview and record review, the facility failed to ensure the residents were free from physical abuse for two of four sampled residents (Resident 1 and Resident 3). The facility failed to: 1. Ensure Resident 1, who had a history of dementia (impaired ability to remember, think, or make decisions that interferes with doing everyday activities), was free from physical abuse. On 4/21/2024 at 8:20 a.m., Resident 1 reported to Restorative Nursing Assistant 1 (RNA 1) that Resident 2 threw a cup at Resident 1 ' s face. 2. Ensure Resident 3, who had a cognitive communication deficit (difficulty with thinking and how someone uses language), was free from physical abuse. […]

• Actual harm, isolatedF689Dec 12, 2023

  Based on interview and record review, the facility failed to prevent an accident and injury for one of three sampled residents (Resident 1), who was a high risk for falls and was on a low air loss mattress (LALM, a device that operates using a blower-based pump designed to circulate a constant flow of air; the air mattress is covered with tiny holes designed to let out air very slowly which helps keep the skin dry and [NAME] away any moisture as well as to relieve pressure). The facility failed to ensure Certified Nursing Assistant 1 (CNA 1) was trained on the changes in setting of the LALM during turning and cleaning Resident 1. […]

• Actual harm, isolatedF689Feb 21, 2023

  Based on interview and record review, the facility failed to provide supervision and follow its policy and procedures titled, Wandering & Elopement, to ensure one of two sampled residents (Resident 1) would not elope (leaving facility without notice or permission) from the facility. The facility failed to: -Ensure Resident 1 received an accurate behavioral and mental evaluation after the attempted elopement on 8/1/2022, per the Change in Condition Evaluation. - Develop and implement a person-centered comprehensive elopement care plan for Resident 1, including supervision or a detailed monitoring plan and monitoring placement and functioning of the Wander Guard. As a result, on 12/2/2022, Resident 1 eloped from the facility and remains missing. […]

• No harm, potential for more than minimal, widespreadF755Jun 6, 2025

  Based on interview and record review the facility failed to: 1. Reconcile (the process of comparing transactions and activity to supporting documentation) and account for six (6) medication emergency kit (eKIT) containing Controlled Medications ([CM] - medications which have a potential for abuse and may also lead to physical or psychological dependence, also known as Controlled Drugs or Controlled Substances [CS]) for June 2025, in three (3) of three (3) inspected Medication Rooms (Medication Room Station 1, Station 2 and Station 3). As a result, control and accountability of medications and CMs did not follow state and federal regulations and facility policy and procedures. 2. […]

• No harm, potential for more than minimal, widespreadF800Apr 8, 2022

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards to ensure food service safety when: 1) Dishwasher 1 (DW 1) failed to wash hands prior to handling cleaned dishes after touching soiled dishes and kitchenware. 2) Cook 1 failed to log pureed bread temperature on the food temperature log because the log did not provide a section for pureed bread. These deficient practices had the potential to result in food-borne illness (any illness resulting from the spoilage of contaminated food, bacteria-germs, viruses, or parasites that contaminate food, as well as toxins [poisons]) in 106 of 112 residents who consumed the food prepared by the facility kitchen. […]