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🔎 Southern California Hosp At Culver City D-p Snf

Inspection Results


Inspection Overview

Southern California Hosp At Culver City D-p Snf has been cited for a total of 58 deficiencies since we began saving each survey.

In California, the average facility has **64.18 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: D

Provide routine and 24-hour emergency dental care for each resident.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: D

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2024-12-15
Correction Date: 2024-12-27
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2024-10-02
Correction Date: 2024-10-25
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: H

Respond appropriately to all alleged violations.

Survey Date: 2024-09-12
Correction Date: 2024-10-25
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2024-09-12
Correction Date: 2024-10-25
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

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.

Survey Date: 2024-09-12
Correction Date: 2024-10-25
Category: Nursing and Physician Services Deficiencies
From Complaint: Y

Scope/Severity: L

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey Date: 2024-09-10
Correction Date: 2024-09-24
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey Date: 2023-12-03
Correction Date: 2023-12-29
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Provide activities to meet all resident's needs.

Survey Date: 2023-12-03
Correction Date: 2023-12-29
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey Date: 2023-12-03
Correction Date: 2023-12-29
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2023-12-03
Correction Date: 2023-12-29
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2023-12-03
Correction Date: 2023-12-29
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2023-01-27
Correction Date: 2023-02-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey Date: 2023-01-27
Correction Date: 2023-02-28
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2023-01-27
Correction Date: 2023-02-28
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Post nurse staffing information every day.

Survey Date: 2023-01-27
Correction Date: 2023-02-28
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2023-01-27
Correction Date: 2023-02-28
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2023-01-27
Correction Date: 2023-02-28
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Implement a program that monitors antibiotic use.

Survey Date: 2023-01-27
Correction Date: 2023-02-28
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: C

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey Date: 2021-03-11
Correction Date: 2021-05-13
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2020-10-27
Correction Date: 2021-03-11
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: B

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide activities to meet all resident's needs.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: B

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: B

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: B

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: B

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Implement a program that monitors antibiotic use.

Survey Date: 2019-09-13
Correction Date: 2019-10-16
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2018-09-02
Correction Date: 2018-10-19
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2018-09-02
Correction Date: 2018-10-19
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2018-09-02
Correction Date: 2018-10-19
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey Date: 2018-09-02
Correction Date: 2018-10-19
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Survey Date: 2018-09-02
Correction Date: 2018-10-19
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey Date: 2018-09-02
Correction Date: 2018-10-19
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Ensure medication error rates are not 5 percent or greater.

Survey Date: 2018-09-02
Correction Date: 2018-10-19
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2018-09-02
Correction Date: 2018-10-19
Category: Infection Control Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**