Inspection Results » The Rehabilitation Center of Santa Monica

Health Inspection on May 21, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-06-24)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-06-24)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-06-24)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-06-24)
   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2018-06-24)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-06-24)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-16)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-07-16)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-06-24)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-07-16)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-06-24)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-06-24)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-06-24)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-06-24)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-24)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-24)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-06-24)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-24)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-07-16)
   • Respond appropriately to all alleged violations. (Corrected 2018-06-24)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-06-24)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-06-24)
   • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (Corrected 2018-06-24)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-06-24)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-06-24)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2018-06-24)