Playa del Rey Center

In the surveyor’s words

From the most serious findings on record at Playa del Rey Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Apr 25, 2025

  Based on interview and record review, the facility failed to implement its Policy and Procedure (P/P) titled, Emergency Procedure -Cardiopulmonary Resuscitation (CPR- an emergency procedure to restart a person's heart and breathing after one or both suddenly stop) which indicated staff are trained to initiate CPR, BLS (Basic life Support-medical care for residents experiencing cardiac arrest [when the heart stops beating] or respiratory distress [difficulty in breathing), and defibrillation ([Automated External Defibrillation (AED)- an electrical current to help your heart return to a normal heart beat in someone experiencing cardiac arrest or severe arrhythmias [improper beating of the heart), for one of one sampled Resident (Resident 1), who had a full code status (when a medical… […]

• Immediate jeopardy, isolatedF656Jul 28, 2023

  Based on interview and record review, the facility failed to develop a comprehensive care plan addressing the risk for aspiration (occurs when food, drink, or foreign objects are breathed into the lungs) for one of 31 sampled residents (Resident 1). Resident 1 had a choking episode on [DATE] and the Speech Therapist ([ST] specialist trained to help people with speech and language problems to speak more clearly) (ST 1) recommended Resident 1 to receive a dysphagia (difficulty in swallowing food or liquid) advance texture diet (foods that hard to chew are chopped, ground, shredded, cooked, or altered to make them easier to chew and swallow and any foods that are very hard, sticky, chewy or crunchy should be avoided) and one-to-one (1:1 monitoring- when an individual staff member is assigned… […]

• Immediate jeopardy, isolatedF689Jul 28, 2023

  Based on interview and record review, the facility failed to provide one-to-one (1:1) supervision while eating for one of 31 residents (Resident 1), who was receiving a therapeutic diet (a meal plan that controls the intake of certain foods or nutrients as part of the treatment of a medical condition prescribed by a physician). Resident 1 was receiving a dysphagia (difficulty in swallowing food or liquid) advanced texture diet (foods that hard to chew are chopped, ground, shredded, cooked, or altered to make them easier to chew and swallow and any foods that are very hard, sticky, chewy or crunchy should be avoided) with thin liquids and required supervision while eating as indicated by the Speech Therapist ([ST] specialist trained to help people with speech and language problems to speak… […]

• Immediate jeopardy, isolatedF805Jul 28, 2023

  Based on interview and record review, the facility failed to ensure one of 31 residents (Resident 7) received and consumed foods in appropriate form and texture as prescribed by the physician. Resident 1 was receiving a dysphagia ( difficulty in swallowing food or liquid) advanced texture diet (foods that are hard to chew are chopped, ground, shredded, cooked, or altered to make them easier to chew and swallow and any foods that are very hard, sticky, chewy or crunchy should be avoided) as recommended by the Speech Therapist ([ST] specialist trained to help people with speech and language problems to speak more clearly)'s (ST 1) recommendations. […]

• Immediate jeopardy, isolatedF600Jun 24, 2021

  Based on interview and record review, the facility failed to provide pressure ulcer care, treatment, and services for one of three sampled residents (Resident 1) to address and meet the resident's needs. This deficient practice resulted in Resident 1, who was admitted with no pressure ulcer developing an infected Stage 4 pressure ulcer (full thickness extends deep into the muscle, tendons, ligaments, or bones) on the sacrococcyx (tail bone) measuring 4.6 centimeter ([cm] units of measurement) in length, 4.5 cm width, and 0.3 cm deep with moderate fluid, slough ([shedding of dead tissue], and black eschar [a dry, dark scab of dead skin]) and experiencing pain. […]