Schmitt Woodland Hills

In the surveyor’s words

From the most serious findings on record at Schmitt Woodland Hills, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 10, 2022

  Based on observation, interview and record review, the facility did not ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (R28) reviewed for supervision and accidents out of a total sample of 15. R28 requires assistance by staff for toileting. R28 requires assistance by staff to move between surfaces and as necessary for transfers. R28 has had 17 falls since admission in which interventions were not put into place on the care plan or the CNA (Certified Nursing Assistant) Kardex to help prevent falls. R28 had a fall that resulted in 5 sutures to her head. R28 wandered off the unit and wandered up to the 4th floor on 12/18/21 taking staff approximately 30 minutes to locate R28. […]

• No harm, potential for more than minimal, widespreadF812Nov 27, 2024

  Based on observation, interview and record review, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. This has the potential to affect the facility census of 35. A kitchenette dishwasher was not registering the correct wash and rinse temperatures. Facility staff were observed touching multiple items in the kitchenette while serving and handling food without performing proper hand hygiene. Evidenced by: The 2022 FDA (Food and Drug Administration) Food Code states under 4-501.110 Mechanical Warewashing Equipment, Wash Solution Temperature and 4-501.112 Mechanical Warewashing Equipment, Hot Water Sanitization Temperatures state that wash temperatures of a high temperature sanitizing dishwasher must reach 160… […]

• No harm, potential for more than minimal, isolatedF657Mar 5, 2026

  Number of residents sampled:15Number of residents cited: 2 OF 15 SAMPLED Based on observation, record review and staff interview, the facility did not ensure the resident's care plan was updated to reflect current care needs for 2 Resident (R33 and R41) of 15 sampled residents. R33's care plan reflected R33 should always have bilateral hand splints on except for at mealtime. Surveyor made observations of R33 without hand splints on. Staff had discontinued hand splints and started using washcloths in place of hand splints and had not updated the care plan. R41's care plan contained precautions from a Norovirus outbreak that occurred in the facility from December into January. The care plan was not discontinued once the outbreak was over. […]

• No harm, potential for more than minimal, isolatedF688Mar 5, 2026

  Based on observation, interview, and record review the facility did not ensure residents with limited range of motion, received appropriate treatment and services to increase range of motion/mobility and/or to prevent further decrease in range of motion/mobility for 1 of 2 residents (R33) reviewed for range of motion (ROM).R33 did not receive her bilateral hand splints/wash clothes, cervical pillow per comprehensive care plan and therapy recommendations.This is evidenced by:The facility policy entitled Prevention of Decline in Range of Motion, dated 1/10/26, states, in part: . […]

• No harm, potential for more than minimal, isolatedF690Mar 5, 2026

  Based on observation, interview, and record review, the facility did not ensure a resident with a catheter receives appropriate treatment and services to prevent urinary tract infections for 1 of 1 resident (R6) reviewed for catheter care.Staff failed to perform proper hand hygiene with R6's catheter care. Staff did not perform hand hygiene in between removing soiled dressing, cleansing catheter site, and applying new dressing. Evidenced by:The facility policy entitled Hand Hygiene, dated 2023, states, in part: . Policy: All staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors.Policy Explanation and Compliance Guidelines:1. […]