West Hills Health and Rehab

In the surveyor’s words

From the most serious findings on record at West Hills Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF641Nov 15, 2024

  Based on review of facility policy, medical record review and interviews, the facility failed to provide post dialysis interventions for 1 resident (Resident #151) of 1 residents reviewed for dialysis. The findings include: Review of the facility policy, Dialysis, Residents, Coordination of Care and Post-Care, dated 3/13/2015, revealed All nursing personnel will be responsible for providing safe, accurate, appropriate dialysis care with a general coordination between outside agencies that provide dialysis, post care assessment and interventions to improve resident outcomes .A. General Guidelines 1. […]

• No harm, potential for more than minimal, isolatedF645Nov 15, 2024

  Based on medical record review and interview, the facility failed to resubmit a timely Level I (one) Preadmission Screening and Resident Review (PASRR) for 3 residents (Resident #29, #47 and #54) of 5 residents reviewed for PASRR. The findings include: Review of the medical record revealed Resident #29 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including Metabolic Encephalopathy, COVID-19, Major Depressive Disorder, Anxiety Disorder, and Adult Failure to Thrive. Review of Resident # 29's comprehensive care plan dated 7/25/2024, revealed .The resident uses Antianxiety Medication .The resident has a mood problem .The resident has depression . Interventions were in place and implemented. […]

• No harm, potential for more than minimal, isolatedF695Nov 15, 2024

  Based on medical record review, observation and interview, the facility failed to obtain physician orders for oxygen for 1 resident (Resident #301) of 3 residents reviewed for oxygen therapy. The findings include: Review of the medical record revealed Resident #301 was admitted to the facility on [DATE] with diagnoses including Dementia, Age Related Physical Disability and COVID-19. Review of Nursing Skilled Evaluation documentation for Resident #301 dated, 11/9/2024, 11/10/2024, 11/11/2024, 11/12/2024 and 11/14/2024, indicated the resident was utilizing oxygen at 2 liters [per minute] via nasal cannula [NC-an oxygen delivery device placed in the nose]. During an observation on 11/12/2024 at 11:00 AM, Resident #301 was resting quietly in bed alert and pleasant. […]

• No harm, potential for more than minimal, isolatedF755Nov 15, 2024

  Based on review of facility policy, medical record review, pharmacy delivery reports, observation and interviews, the facility failed to accurately transcribe a physician's order for 1 resident (Resident #51) of 7 residents reviewed for medication administration. The findings include: Review of the facility's policy titled, Medication and Treatment Orders, revised 7/2016, revealed .Drug and biological orders must be recorded in the medical record . Review of the medical record revealed Resident #51 was admitted to the facility on [DATE], with diagnoses including Dysphagia (difficulty swallowing) following Cerebral Infarction (Stroke), Atrial Fibrillation, Hypertension, Heart Failure, and Depression. […]

• No harm, potential for more than minimal, isolatedF880Nov 15, 2024

  Based on review of facility policy, medical record review, observation and interviews, the facility failed to ensure infection control practices were observed during medication administration for 1 resident (Resident #1) of 7 residents observed for medication administration and failed to ensure enhanced barrier precautions (EBP) were implemented for 1 resident (Resident # 45) of 17 residents reviewed for EBP. The findings include: Review of the facility policy titled, Administering Medications, revised 4/2019, revealed .Staff follows established facility infection control procedures ( .handwashing .) for the administration of medications . […]