Topanga Terrace

In the surveyor’s words

From the most serious findings on record at Topanga Terrace, in the surveyor’s own words.

• Immediate jeopardy, patternF921Jul 1, 2022

  Based on observation, interview, and record review, the facility failed to provide a safe environment for 96 of 96 residents, staff, and visitors, by failing to: 1. Obtain required written authorization, building permits, or attain construction approval for the renovations/alterations in one of four public restrooms [Restroom 2 (outpatient rehabilitation restroom)] from the Department of Healthcare Access and Information [HCAI, previously known as the Office of Statewide Health Planning and Development or (OSHPD)]. […]

• No harm, potential for more than minimal, widespreadF814Nov 20, 2025

  Based on observation, interview, and record review, the facility failed to dispose garbage and refuse properly when there were soiled gloves on the floor in the dumpster (a movable waste container designed to be brought and taken away by a special collection vehicle, or to a bin that a specially designed garbage truck lifts) floor area. This failure had potential to attract birds, flies, insects, pests and possibly spread infection to 99 of 99 facility residents. Findings: During a concurrent observation and interview on 11/18/2025 at 11:00 a.m. of the dumpster with the Dietary Supervisor (DS), observed six (6) soiled gloves on the floor. […]

• No harm, potential for more than minimal, widespreadF812Sep 26, 2021

  Based on observation, interview, and record review, the facility failed to control unsafe food handling, sanitation, and employee practices in the Food and Nutrition Service Department as follows: 1. Food and Nutrition Department failed to cease operation during interruption of water service and obtain approval from the authority having jurisdiction prior to continuing operations. 2. One of five dietary staff [Dietary Services Supervisor (DSS)] failed to ensure hand washing sink was readily available for use. 3. One of five dietary staff (Cook 1) failed to demonstrate proper handwashing in an approved handwashing sink during the disruption of water services. 4. […]

• No harm, potential for more than minimal, patternF583Nov 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure the confidential personal information of residents were protected by failing to ensure documents containing protected health information ([PHI]- any health information that can be used to identify a specific individual which must remain confidential to prevent harmful consequences) were not shredded prior to disposing in the waste container. This failure had the potential to violate 61 of 99 residents' rights for privacy and confidentiality of personal and medical records. Findings: During an observation on 11/18/2025 at 9:35 a.m. of the dishwashing process of [NAME] 1 in the dish machine area, observed [NAME] 1 threw the residents meal tickets in the trash. […]

• No harm, potential for more than minimal, patternF690Nov 20, 2025

  Based on observation, interview, and record review the facility failed to ensure residents who were incontinent (lacks voluntary control over urination) of bladder (organ in the pelvis that stores urine) received appropriate treatment and services to prevent urinary tract infections (UTI, common infections that happen when bacteria infect the urinary tract) for three (Resident 42, Resident 118 and Resident 63) of seven residents reviewed under the urinary catheter (a tube that is inserted into the bladder, allowing urine to drain) care area by failing to keep Resident 63, 42 and 118's urinary catheter tubing from coiling and allowing the contents to flow freely into the urinary catheter bag (container that connects to a urinary catheter and collects urine). […]