HOLLENBECK PALMS
HOLLENBECK PALMS is a 106-bed nursing home in LOS ANGELES, California. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 53.7 residents a day.
What harm was found in the violations cited at HOLLENBECK PALMS?
CMS lists 39 health-inspection deficiencies for HOLLENBECK PALMS, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-06-11 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2026-02-24 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2026-01-28 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D |
| 2025-12-12 | F0686, F0812, F0919 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2025-12-12 | F0550, F0605, F0657, F0677, F0694, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2024-10-25 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-10-25 | F0689, F0759, F0812, F0814 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. | E |
| 2024-10-25 | F0550, F0578, F0604, F0677, F0695, F0755, F0760 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. | D |
| 2024-10-25 | F0732 | Post nurse staffing information every day. | B |
| 2024-08-20 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-08-20 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E |
| 2024-08-20 | F0604, F0656 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-11-19 | F0686, F0812, F0849, F0880 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. / Provide and implement an infection prevention and control program. | E |
| 2023-11-19 | F0578, F0580, F0607, F0677, F0761 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. | D |
How is HOLLENBECK PALMS staffed?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.58524 | 4.51570 |
| Total nursing staff turnover (%) | 28.1 | 36.7 |
| Average number of residents per day | 53.7 | 87.9 |
Who owns HOLLENBECK PALMS?
HOLLENBECK PALMS is registered with CMS as Non profit - Corporation, operates under the legal business name HOLLENBECK PALMS.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | JOHNSTON, CAROL, KIRCHHOFF, KATHERINE, KUMAGAI, WILLIAM, ONISHI, KEVIN, ROSENBLOOM, LINDA | since 07/01/2013 |
| OPERATIONAL/MANAGERIAL CONTROL | BELLE HOME CARE INC, WIPFLI LLP, JOHNSTON, CAROL, KANEGAE, THOMAS, KIRCHHOFF, KATHERINE, KUMAGAI, WILLIAM, ONISHI, KEVIN, RAMIREZ, IVANIA, ROSENBLOOM, LINDA, SHOCKLEY, MORRIS, YOUNG, JOHNNY | since 02/17/1987 |
| ADP OF THE SNF | BELLE HOME CARE INC, WIPFLI LLP, JOHNSTON, CAROL, KANEGAE, THOMAS, KIRCHHOFF, KATHERINE, KUMAGAI, WILLIAM, ONISHI, KEVIN, RAMIREZ, IVANIA, ROSENBLOOM, LINDA, SHOCKLEY, MORRIS, YOUNG, JOHNNY | since 06/04/2021 |