Studio City Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Studio City Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Feb 23, 2021

  Based on observation, interview, and record review, the facility failed to practice infection control measures for Coronavirus Disease-19 (COVID-19, a disease caused by [MEDICAL CONDITION] that can trigger a respiratory tract infection) by failing to: 1. Transfer 40 of 83 residents (Resident 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57) who resided in the green cohort (area designated for residents who have no contact with COVID-19) to the yellow cohort (area designated for residents who have had possible exposure to COVID-19) after exposure to COVID-19 by facility staff, which then lead to a delay in initiating the appropriate transmission based precautions (droplet precaution… […]

• Immediate jeopardy, isolatedF580May 15, 2024

  Based on interview and record review, the facility failed to follow its policy and procedure (P&P) titled, Change of Condition (COC - a major decline in a resident ' s status), and notify the physician for one of five sampled residents (Resident 1) who had a significant COC that started on [DATE] at 4 a.m. On [DATE], at 4 a.m., Resident 1 ' s tracheal tube (trach tube, a two-inch-to three-inch-long curved metal or plastic tube placed in a surgically created opening [tracheostomy] in the windpipe to keep it open) was partially (not completely) displaced (removed from the usual or proper place). […]

• Immediate jeopardy, isolatedF695May 15, 2024

  Based on interview and record review, the facility failed to ensure one of five sampled residents (Resident 1) received tracheostomy (an opening surgically created through the neck into the trachea to allow air to fill the lungs) care when on [DATE] at 4 a.m., Resident 1 ' s tracheal tube (trach tube, a catheter that is inserted into the trachea for the primary purpose of establishing and maintaining an open airway) was partially (not completely) displaced (removed from the usual or proper place). […]

• Immediate jeopardy, isolatedF726May 15, 2024

  Based on interview and record review, the facility failed to ensure Registered Nurse 1 (RN 1) had the skills and knowledge to provide nursing services to one of five sampled resident (Resident 1) by failing to ensure: 1. RN 1 followed the facility ' s policy and procedure (P&P) titled, Change of Condition, (COC - a major decline in a resident ' s status) and called Resident 1 ' s Medical Doctor (MD) 1 to secure orders or request for interventions from MD 1 to address Resident 1 ' s COC when Respiratory Therapist 2 (RT 2) endorsed RN 1 to notify MD 1, after RT 2 replaced Resident 1 ' s tracheal tube (size 7.5 millimeter (mm, one thousandth of a meter) with a smaller-sized tube (6 mm) and RT 2 noted Resident 1 had bilateral (both lungs) diminished (decreased) breath sounds and minimal… […]

• Actual harm, isolatedF686Aug 15, 2025

  Based on observation, interview, and record review the facility failed to: A. Ensure one of four sampled residents (Resident 10) who had intact skin upon admission on [DATE], was assessed as at risk for developing pressure ulcers (localized damage to the skin and/or underlying tissue usually over a bony prominence), required assistance with turning while in bed and in a chair, and was incontinent of bowel and bladder (having no or insufficient voluntary control over urination or defecation) did not develop pressure ulcers while in the facility and received appropriate treatment and services to maintain skin integrity (the condition of the skin being intact, healthy and free from damage) by failing to: 1.Ensure Licensed Vocational Nurse 2 (LVN 2) and Treatment Nurse 1 (TN 1) assessed and… […]