Santa Anita Convalescent Hospital

In the surveyor’s words

From the most serious findings on record at Santa Anita Convalescent Hospital, in the surveyor’s own words.

• Immediate jeopardy, widespreadF925May 13, 2021

  Based on observation, interview and record review, the facility failed to maintain an effective pest control program to eradicate (destroy) and prevent rodent infestation (the presence of an unusually large number of rodents [rats or mice that can be carriers and spread infectious diseases]) in the facility's kitchen for 200 of 200 residents. The deficient practice resulted in the presence of one dead rodent in the kitchen steamtable (a type of food holding equipment designed to keep foods warm) placing 200 residents at risk of serious diseases that can be transmitted through various routes (direct contact or inhalation) and by contaminating human food with germs (small living things/cells, especially one which cause diseases) that rodents pick up in garbage dumps and outside grounds. […]

• Immediate jeopardy, patternF742Apr 14, 2024

  Based on interview and record review the facility failed to provide treatment and services to attain the highest practicable mental and psychosocial wellbeing for one of two sampled resident (Resident 1) who was diagnosed with depression (a constant feeling of sadness and loss of interest, which stops you doing your normal activities) and bipolar disorder (a disorder associated with episodes of mood swings ranging from depressive lows to manic highs) by facility staff failing to: 1. Monitor and acknowledge Resident 1's expressions of feeling depressed. Resident 1 verbalized his, ups and down with depression and continually expressing depressive symptoms due to external social and familial factors. 2. […]

• Immediate jeopardy, patternF698May 17, 2023

  Based on interview and record review, the facility failed to ensure residents who receive dialysis treatment (procedure to remove wastes or toxins from the blood and adjust fluid and electrolyte [substance that breaks up into ions {particles with electrical charges} when it is dissolved in water or body fluids] imbalances) are provided services consistent with professional standards of practice for one of 18 sampled residents (Resident 159). (Professional standards of practice is an ongoing assessment of the resident's condition and monitoring for complications before and after dialysis treatments. […]

• Immediate jeopardy, isolatedF600Jun 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure one of two sampled residents (Resident 1) was free from sexual abuse (non-consensual [without the person's permission] touching of one person for the sexual gratification of another) on 6/19/2025 by failing to: 1. Protect Resident 1 from Resident 2 by ensuring Resident 2 was provided a one-to-one sitter (1:1, an intervention when a nurse or healthcare professional provides constant observation and support to a resident who is at risk of harm, such as one with cognitive [mental action or process of acquiring knowledge and understanding] impairments, challenging behaviors, or one who may fall or cause harm to himself/herself or to others) in accordance with the physician's order on 6/19/2025 from 11 PM to 11:20… […]

• Immediate jeopardy, isolatedF580Aug 1, 2023

  Based on interview and records review, the facility failed to call and notify primary physician for one of fifteen (15) sampled residents (Resident 1), when the Resident 1 experienced shortness of breath (SOB, difficult or labored breathing) and had an oxygen saturation (measures the percentage of oxygen in the blood) of 76% and 88% (levels between 95% to 100% are considered normal for both adults and children) on [DATE] at 5 PM. In addition, the facility licensed staff administered oxygen via non-rebreather mask (a device used to assist in the delivery of oxygen therapy, which is a treatment that provides extra oxygen to breathe in) at 8 liters per minute (LPM) to the resident without prior notification and obtaining a physician's order. […]