West Hollywood Healthcare & Wellness Centre, LP

In the surveyor’s words

From the most serious findings on record at West Hollywood Healthcare & Wellness Centre, LP, in the surveyor’s own words.

• Actual harm, isolatedF692Apr 8, 2022

  (Rev. 173, Issued: [DATE], Effective: [DATE], Implementation: [DATE]) §483.25(g) Assisted nutrition and hydration. (Includes naso-gastric and gastrostomy tubes, both percutaneous endoscopic gastrostomy and percutaneous endoscopic jejunostomy, and enteral fluids). Based on a resident's comprehensive assessment, the facility must ensure that a resident- §483.25(g)(1) Maintains acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise; §483.25(g)(2) Is offered sufficient fluid intake to maintain proper hydration and health; §483.25(g)(3) Is offered a therapeutic diet when there is a nutritional problem… […]

• Actual harm, isolatedF684Apr 1, 2022

  Based on interview and record review, the facility failed to identify and ensure one of two sampled residents (Resident 3), who was at risk for cardiac (heart) distress related [CONDITION(S)] (damaged kidneys cannot filter blood as needed causes risks of high blood pressure and heart disease) received care and services in accordance with professional standards of practice and had an initial care plan with interventions to address Resident 3's heart condition by failing to: 1. Implement Resident 3's physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . 2. […]

• Actual harm, isolatedF600Dec 30, 2021

  Based on observation, interview, and record review, the facility failed to ensure one of four sampled residents (Resident 2), who was placed in the same room with Resident 1, was not subjected to physical abuse inflicted by Resident 1. The facility failed to: -Evaluate Resident 2's safety when it was decided to place him in the same room upon re-admission and after Resident 1 became protective of his room preventing entry of staff which resulted in moving out Resident 3 from Resident 1's room. -Provide Resident 1, who had diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF740Dec 30, 2021

  Based on observation, interview, and record review, the facility failed to ensure one of four sampled residents (Resident 1), who had diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Affected individuals may have grandiose delusions [strong beliefs of things that are untrue], associated with protecting themselves from the perceived plot) and major depressive disorder (a mental health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life), was provided with the necessary behavioral health care as indicated in the plan of care. […]

• Actual harm, isolatedF689Apr 19, 2021

  Based on interview and record review, the facility failed to identify and evaluate accident risks and provide a safe environment to prevent accidents and injuries for one of two sampled residents (Resident 1). For Resident 1, who was diagnosed with dementia (a chronic disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes and impaired reasoning) and assessed as high fall risk, the facility failed to develop an initial care plan with adequate interventions to address Resident 1's risk for fall and failed to monitor the resident every shift for 72 hours, per the care plan interventions. These deficient practices resulted in Resident 1 screaming for help after she suffered a fall on 2/13/2021 at 11:30 p.m. […]