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Four Seasons Healthcare & Wellness Center, Lp

Inspection Results


Nursing Homes California North Hollywood Four Seasons Healthcare & Wellness Center, Lp

Four Seasons Healthcare & Wellness Center, Lp has been cited for a total of 105 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Four Seasons Healthcare & Wellness Center, Lp.

There are 1191 nursing homes in California with a total of 65,103 deficiencies resulting in an average of 54.66 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Scope:
D
Corrected:
01-08-2018
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Scope:
D
Corrected:
12-13-2017
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Scope:
D
Corrected:
12-13-2017
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Scope:
D
Corrected:
10-13-2017
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Scope:
D
Corrected:
10-13-2017
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Scope:
D
Corrected:
08-23-2017
Ensure that residents are fully informed and understand their health status, care and treatments.
Scope:
D
Corrected:
04-30-2018
Reasonably accommodate the needs and preferences of each resident.
Scope:
E
Corrected:
04-30-2018
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Scope:
D
Corrected:
04-30-2018
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Scope:
D
Corrected:
04-30-2018
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.
Scope:
D
Corrected:
04-30-2018
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Scope:
D
Corrected:
04-30-2018
Assess the resident when there is a significant change in condition
Scope:
B
Corrected:
04-30-2018
Assure that each resident?s assessment is updated at least once every 3 months.
Scope:
D
Corrected:
04-30-2018
Ensure each resident receives an accurate assessment.
Scope:
D
Corrected:
04-30-2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope:
E
Corrected:
04-30-2018
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope:
D
Corrected:
04-30-2018
Ensure services provided by the nursing facility meet professional standards of quality.
Scope:
E
Corrected:
04-30-2018
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope:
D
Corrected:
04-30-2018
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.
Scope:
E
Corrected:
04-30-2018
Provide enough food/fluids to maintain a resident's health.
Scope:
D
Corrected:
04-30-2018
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Scope:
D
Corrected:
04-30-2018
Provide safe, appropriate pain management for a resident who requires such services.
Scope:
G
Corrected:
04-30-2018
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Scope:
E
Corrected:
04-30-2018
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.
Scope:
E
Corrected:
04-30-2018
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope:
D
Corrected:
04-30-2018
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope:
D
Corrected:
04-30-2018
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.
Scope:
E
Corrected:
04-30-2018
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Scope:
E
Corrected:
04-30-2018
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope:
E
Corrected:
04-30-2018
Provide or get specialized rehabilitative services as required for a resident.
Scope:
D
Corrected:
04-30-2018
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope:
D
Corrected:
04-30-2018
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Scope:
D
Corrected:
04-30-2018
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Scope:
E
Corrected:
04-30-2018
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope:
D
Corrected:
04-30-2018
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Scope:
B
Corrected:
04-30-2018
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Scope:
D
Corrected:
04-30-2018
Make sure that a working call system is available in each resident's bathroom and bathing area.
Scope:
D
Corrected:
04-30-2018
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope:
E
Corrected:
04-30-2018
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Scope:
D
Corrected:
05-09-2017
Make sure that special or therapeutic diets are ordered by the attending doctor.
Scope:
D
Corrected:
05-09-2017
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
D
Corrected:
03-29-2017
Protect each resident from all abuse, physical punishment, and involuntary separation from others.
Scope:
D
Corrected:
12-09-2016
Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Scope:
D
Corrected:
09-23-2016
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
D
Corrected:
08-16-2016
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
D
Corrected:
08-12-2016
Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.
Scope:
D
Corrected:
06-27-2016
Keep residents' personal and medical records private and confidential.
Scope:
D
Corrected:
06-27-2016
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Scope:
E
Corrected:
04-17-2017
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Scope:
D
Corrected:
04-17-2017
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
Scope:
D
Corrected:
04-17-2017
Provide housekeeping and maintenance services.
Scope:
E
Corrected:
04-17-2017
Review or revise the resident's care plan after any major change in physical or mental health.
Scope:
D
Corrected:
04-17-2017
Ensure each resident receives an accurate assessment by a qualified health professional.
Scope:
D
Corrected:
04-17-2017
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope:
E
Corrected:
04-17-2017
Ensure services provided by the nursing facility meet professional standards of quality.
Scope:
D
Corrected:
04-17-2017
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Scope:
D
Corrected:
04-17-2017
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Scope:
D
Corrected:
04-17-2017
Develop policies and procedures for influenza and pneumococcal immunizations.
Scope:
D
Corrected:
04-17-2017
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Scope:
B
Corrected:
Not Listed
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Scope:
D
Corrected:
04-17-2017
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Scope:
D
Corrected:
01-11-2016
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Scope:
D
Corrected:
01-21-2016
Keep residents' personal and medical records private and confidential.
Scope:
D
Corrected:
02-26-2016
Reasonably accommodate the needs and preferences of each resident.
Scope:
D
Corrected:
02-26-2016
Give notice to the resident before a room or roommate change.
Scope:
D
Corrected:
02-26-2016
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Scope:
D
Corrected:
02-26-2016
Ensure each resident receives an accurate assessment by a qualified health professional.
Scope:
D
Corrected:
02-26-2016
Provide necessary care and services to maintain or improve the highest well being of each resident .
Scope:
D
Corrected:
02-26-2016
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Scope:
E
Corrected:
02-26-2016
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing.
Scope:
D
Corrected:
02-26-2016
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Scope:
D
Corrected:
02-26-2016
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Scope:
D
Corrected:
02-26-2016
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Scope:
D
Corrected:
02-26-2016
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Scope:
D
Corrected:
02-26-2016
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Scope:
E
Corrected:
02-26-2016
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Scope:
E
Corrected:
02-26-2016
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Scope:
E
Corrected:
02-26-2016
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Scope:
D
Corrected:
02-26-2016
Have a program that investigates, controls and keeps infection from spreading.
Scope:
D
Corrected:
03-29-2016
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Scope:
B
Corrected:
04-26-2016
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Scope:
F
Corrected:
02-26-2016
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Scope:
E
Corrected:
03-29-2016
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Scope:
D
Corrected:
02-26-2016
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
G
Corrected:
03-29-2016
Address subsistence needs for staff and patients.
Scope:
C
Corrected:
04-09-2018
Establish policies and procedures for medical documentation.
Scope:
C
Corrected:
04-09-2018
Conduct testing and exercise requirements.
Scope:
C
Corrected:
04-09-2018
Implement emergency and standby power systems.
Scope:
C
Corrected:
04-09-2018
Install proper backup exit lighting.
Scope:
F
Corrected:
04-09-2018
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Scope:
D
Corrected:
04-09-2018
Ensure proper usage of power strips and extension cords.
Scope:
D
Corrected:
04-09-2018
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Scope:
D
Corrected:
04-17-2017
Have simulated fire drills held at unexpected times.
Scope:
E
Corrected:
04-17-2017
Emergency lighting that can last at least 1 1/2 hours.
Scope:
F
Corrected:
01-18-2016
Address subsistence needs for staff and patients.
Scope:
C
Corrected:
04-09-2018
Establish policies and procedures for medical documentation.
Scope:
C
Corrected:
04-09-2018
Conduct testing and exercise requirements.
Scope:
C
Corrected:
04-09-2018
Implement emergency and standby power systems.
Scope:
C
Corrected:
04-09-2018
Install proper backup exit lighting.
Scope:
F
Corrected:
04-09-2018
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Scope:
D
Corrected:
04-09-2018
Ensure proper usage of power strips and extension cords.
Scope:
D
Corrected:
04-09-2018
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Scope:
D
Corrected:
04-17-2017
Have simulated fire drills held at unexpected times.
Scope:
E
Corrected:
04-17-2017
Emergency lighting that can last at least 1 1/2 hours.
Scope:
F
Corrected:
01-18-2016

Learn more about Four Seasons Healthcare & Wellness Center, Lp at the following resources

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Four Seasons Healthcare & Wellness Center, Lp


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