The Rehabilitation Center of los Angeles

In the surveyor’s words

From the most serious findings on record at The Rehabilitation Center of los Angeles, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Apr 4, 2024

  Based on observation, interview, and record review, the facility's staff failed to implement infection control policies and procedures (P &P) for four of five sampled residents (residents 1, 3, 4, and 5), by failing to: 1. Identify and prevent the spread of infestation of scabies (i.e., a highly contagious skin condition caused by the itch mite) when Resident 1 had a skin rash on 11/6/2023. 2. Placed Resident 1 on transmission-based precautions (isolation precautions, actions taken to prevent the or control infections) when she was diagnosed to have scabies on 3/27/2024. 3.Implement control measures to prevent the transmission of scabies among residents in the facility, staff, and visitors. 4. Assess Resident 1's roommates (Residents 3, 4, and 5) for potential exposure to scabies. 5. […]

• Immediate jeopardy, isolatedF684Apr 4, 2024

  Based on observation, interview, and record review, the facility failed to provide care, treatment, and services for five of five sampled residents (Residents 1, 2, 3, 4, and 5) in accordance with professional standards of practice in order to meet the residents' physical, mental, and psychosocial needs, by failing to: 1. Conduct proper assessment to identify what was causing generalized and severely itchy skin rashes despite two separate treatments for Resident 1 and generalized dry crusted skin rashes for Resident 5. Resident 1's rash and itching was first identified by the facility on 11/06/2023. 2. […]

• Actual harm, isolatedF689Feb 5, 2025

  Based on interview and record review, the facility failed to provide a safe and accident-free environment for one of three sampled residents (Resident 2), who was assessed as high fall risk, impaired gait (walking pattern different than normal) and mobility, and had diagnosis of dementia (a chronic condition that causes a gradual decline in cognitive abilities, such as thinking, remembering, and reasoning) by failing to: -Provide Resident 2 supervision to prevent falls, per the facility's policy titled, Fall Management Program. -Develop and implement a person-centered care plan which included supervision to prevent falls and injury. As a result, Resident 2 had a fall on 1/19/2025 at 6:30 AM, in his room, and complained of pain rated at 10 out of 10 (the most severe pain). […]

• Actual harm, isolatedF688Jul 30, 2021

  Based on observation, interview, and record review, the facility failed to ensure one of one sampled residents (Resident 6) received appropriate services to prevent further decline in range of motion to both legs and provided services to prevent decline in range of motion to both arms by failing to: 1) Perform a Rehabilitation (Rehab) Joint Mobility Assessment (brief assessment of a resident's range of motion in both arms and both legs) to assess Resident 6's range of motion upon admission to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF558May 14, 2026

  Based on observation, interview, and record review the facility failed to provide reasonable accommodation for resident needs (the facility's efforts to individualize the resident's physical environment) by failing to: 1. Ensure two of five sampled residents (Resident 1 and Resident 185) had a communication board (a visual tool that uses pictures, symbols, or letters to help people with limited speech express their thoughts) at the bedside as indicated in the facility's Policy and Procedures (P&P) titled Communication Barriers, last reviewed 4/14/2026 and the facility's P&P titled ADL (Activities of Daily Living - activities such as bathing, dressing and toileting a person performs daily) Provided for Dependent Residents, last reviewed 4/14/2026. 2. […]