Motion Picture and T.V. Hosp D/P SNF

In the surveyor’s words

From the most serious findings on record at Motion Picture and T.V. Hosp D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF837Apr 4, 2024

  Based on interview, and record review the facility failed to establish and implement policies and procedures regarding the use of side rails (SR, adjustable rigid plastic bars attached to the bed that may be positioned in various locations on the bed; upper or lower, either or both sides) and physical restraints (any manual method, physical or mechanical device, material or equipment that is attached or adjacent to the resident's body that he or she cannot easily remove that restricts freedom of movement or normal access to one's body). […]

• No harm, potential for more than minimal, patternF689Jul 17, 2026

  Based on observation, interview, and record review, the facility failed to provide an environment free from accidents and hazards for four of eight sampled residents (Resident 5, 35, 67, 96) reviewed for accidents by failing to: 1. Ensure Resident 5's bilateral (both sides) fall mats (a protective, impact-absorbing cushion placed on the floor alongside a patient's bed) were provided per plan of care and physician's orders when the right-side fall mat was not in place. 2. Ensure floor mats designed to reduce injury from falls, were free from objects over the mats for Residents 67 and Resident 96. These failures had the potential to result in resident falls resulting in injuries like fractures (broken bones) and lacerations for Residents 5, 67, and 96. 3. […]

• No harm, potential for more than minimal, patternF695Jul 17, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents who need respiratory care were provided care consistent with professional standards of practice for two of two sampled residents (Resident 8 and 93) reviewed under the Respiratory care area by failing to: 1. Ensure supplemental oxygen (O2) was administered per physician orders, documented when administered, and monitored while in use for Resident 93. 2. Ensure Resident 8's nasal cannula (NC, a small plastic tube, which fits into the nostrils for providing supplemental O2) tubing was identified by CNA 2 when it was on the ground, was not placed by RNA 2 on the resident's bed linens after being removed from the ground and was replaced by LVN 9 after the tubing was on the ground. […]

• No harm, potential for more than minimal, patternF761Jul 17, 2026

  Based on observation, interview, and review, the facility failed to ensure safe provision of pharmaceutical services by: 1. Failing to label Resident 38's cyclosporine eye drop (a medicine used to help people with chronic dry eye disease by reducing swelling in the eye) with an open date during the inspection of one (1) of three (3) medication carts (Medication Cart 1) reviewed during the Medication Storage and Labeling task. 2. Failing to indicate the open date and discard Resident 56's ipratropium-albuterol sulfate (also known as duoneb, a prescription liquid solution or medicine that people breathe in through a nebulizer [a small machine that turns liquid medicine into a mist so a person can breathe it directly into the lungs] to help the airway open up and make it easier to breathe)… […]

• No harm, potential for more than minimal, patternF812Jul 17, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage and food preparation practices in the kitchen by: 1. Failing to ensure a bag of shredded lettuce was not sealed and not labeled with an open date. 2. Failing to ensure the test strip used to check the sanitizing solution was not expired. These failures had the potential to result in harmful bacterial growth and cross contamination (transfer of harmful bacteria from one place to another) that could lead to foodborne illness (a disease caused by consuming food or drinks that are contaminated by germs or chemicals) in 97 out of 97 medically compromised residents who received food from the kitchen. […]