Veterans Home of California - West los Angeles

In the surveyor’s words

From the most serious findings on record at Veterans Home of California - West los Angeles, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF802Dec 12, 2025

  Based on observation, interview, and record review, the facility failed to ensure kitchen staff were competent and adequately trained to safely carry out food services when: Multiple kitchen staff were not trained to intervene or discard hot food items that did not reach 70 degrees Fahrenheit ( F, unit of measurement for temperature) within two hours of the cooling process for potentially hazardous foods.The Food Service Technician (FST) did not receive training on the proper operation of the dishwasher.These failures had the potential to result in the spread of food borne illnesses (a sickness caused by consuming food or drinks contaminated with harmful substances) in a medically fragile population of 142 residents.Findings:1. […]

• No harm, potential for more than minimal, widespreadF812Dec 12, 2025

  Based on observation, interview, and record review, the facility failed to ensure food and beverage items for resident consumption were stored in a safe and sanitary manner when: Four boxes of Glucose Control drinks were found stored on the floor.One pound of damaged and unsealed butter was found in the Main Kitchen.Brown sticky residue was found in Unit A3's Common Area Kitchenette's ice machine.These failures had the potential to result in residents being served contaminated or expired foods, which may have led to the spread of food borne illnesses (a sickness caused by consuming spoiled food or drinks contaminated with harmful substances) in a medically fragile population of 142 residents.During a concurrent observation and interview on 12/10/2025 at 11:05 a.m. […]

• No harm, potential for more than minimal, widespreadF841Dec 12, 2025

  Based on interview and record review, the facility failed to provide clinical oversight to 142 vulnerable residents in the skilled nursing facility when:1. There was no Medical Director/Chief Medical Officer for the facility.2. Medical Staff credentialing and performance evaluations were not performed according to policy.3. Medical Staff failed to coordinate care between specialties for one of 29 sampled residents (Resident 64).4. The facility failed to adopt any current professional standards of practice for dental services.These failures resulted in a lack of resident care oversight by a Medical Director/Chief Medical Officer, no approval or adoption of current professional standards of practice for dental services and lack of resident care policies and procedures for dental… […]

• No harm, potential for more than minimal, widespreadF844Dec 12, 2025

  Based on interview and record review, the facility failed to notify the California Department of Public Health (CDPH) in any capacity when the Medical Director/Chief Medical Officer position was vacated on 5/3/2025 with no replacement or interim physician in place. This failure resulted in the state agency being unable to provide timely oversight or intervention and resulted in allowing residents to remain for an extended period without required medical leadership and safeguards, thereby increasing the risk of delayed medical care, inadequate supervision over medical services, and potential harm to a medically compromised population of 142 residents. Refer to related deficiency F0841.During an interview on 12/12/2025 at 11:20 a.m. […]

• No harm, potential for more than minimal, widespreadF868Dec 12, 2025

  Based on interview and record review, the facility failed to meet the minimum requirements for the Quality Assurance Performance Improvement (QAPI) committee meetings for three out of four quarters in 2025 when a Medical Director/Chief Medical Officer or qualified designee did not attend. This failure had the potential to diminish oversight in developing, reviewing, and approving crucial clinical policies that affected a medically fragile population of 142 residents since May 3, 2025.During a review of the QAPI meeting minutes, on 12/12/2025 at 08:30 a.m., dated 2/13/2025 through 11/13/2025, the attendance sheet indicated that the Medical Director/Chief Medical Officer or an official qualified physician designee did not attend meetings for the months of May, June, July, August, September,… […]