Southern California Hosp at Culver City D/P SNF

In the surveyor’s words

From the most serious findings on record at Southern California Hosp at Culver City D/P SNF, in the surveyor’s own words.

• Immediate jeopardy, widespreadF584Sep 10, 2024

  Based on observation, interview and record review, the facility failed to maintain acceptable room temperature ranging from 71 to 81 degrees Fahrenheit (F, A unit of temperature measurement) for 17 of 17 residents (Resident 1 to Resident 17) in the Sub-Acute (a medical facility that provides medical care to chronically ill patients who are medically stable) Unit. This deficient practice placed the 17 residents on the Sub-Acute Unit at risk for dehydration (excessive loss of body water) and/or heat stroke (internal body heat with complications involving the central nervous system that occur after exposure to high temperatures). […]

• Actual harm, patternF610Sep 12, 2024

  Based on observation, interview, and record review, the facility failed to prevent further potential neglect and have evidence that all alleged violations were thoroughly investigated as indicated in the facility's Abuse Investigation policy for three of three sampled residents (Resident 1, 2 and 3) when: 1. Licensed vocational nurse (LVN - an entry-level health care provider who is responsible for rendering basic nursing care) 1 tied a sheet to the Resident 1 ' s bed frame and broken bedrail. This deficient practice resulted in Resident 1 falling out of bed and had the potential to result in unidentified neglect, mistreatment, and failure to protect Resident 1 from further neglect. 2. […]

• Actual harm, isolatedF689Sep 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure the facility's policies and procedures were followed for of one of three sampled residents (Resident 1), when Resident 1's bedrail was tied with a sheet after it was found to be broken and the facility staff failed to monitor Resident 1 while the bedrail remained broken. This failure resulted in Resident 1 falling out of bed and had the potential for risk of entrapment or strangulation due to the sheet tied from the bed rail to the lower bed frame. […]

• No harm, potential for more than minimal, widespreadF851Feb 27, 2026

  Based on record review, the facility failed to: 1. Provide a Payroll Based Journal information for quarter 4.This failure had resulted in the facility not providing the required information regarding the quantity of staff assigned for safe and comprehensive care for all residents, as required by federal regulations.During a review of the Fiscal Year Quarter 4 2025 PBJ Staffing Data Report for the facility, dated 2/20/2026, the Fiscal Year Quarter 4 2025 PBJ Staffing Data Report indicated the facility failed to submit data for the quarter. During an interview on 02/27/2026 at 10:34 AM, with the NM, the NM stated the information was submitted, just as it was for the previous quarters. […]

• No harm, potential for more than minimal, widespreadF851Dec 15, 2024

  Based upon interview and record review, the facility failed to: 1. Ensure the facility's Payroll-Based Journal Staffing Data Report (PBJ- a system created by Center of Medicare/Medicaid Services to collect auditable and verifiable staffing data from nursing facilities) was submitted for Quarter 4 Fiscal Year (July 2024-September 2024). This deficient practice had the potential to result in a negative impact on quality of care. Findings: During a record review, on 12/12/2024, at 10:10 a.m., the facility's Payroll-Based Journal Staffing Data Report (PBJ) indicated staffing data for Fiscal Year Quarter 4 was not submitted to the Center of Medicare/Medicaid Services (CMS- a federal agency that provides services related to Medicare and Medicaid). […]