Federal Nursing-Home Survey Record
WEST HILLS HEALTH AND REHABILITATION CENTER
Does WEST HILLS HEALTH AND REHABILITATION CENTER have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), WEST HILLS HEALTH AND REHABILITATION CENTER (CCN 056133), in CANOGA PARK, CA, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 43 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $45,804 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Civil money penalties on file
$45,804
CMS has $45,804 in civil money penalties on file against this facility. CMS also records 64 day(s) of payment denial.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 1 · CMS state average: 3.2
Deficiency timeline — full federal history
Allow residents to self-administer drugs if determined clinically appropriate.
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Post nurse staffing information every day.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Provide safe, appropriate pain management for a resident who requires such services.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
PASARR screening for Mental disorders or Intellectual Disabilities
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dispose of garbage and refuse properly.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Keep all essential equipment working safely.
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Provide and implement an infection prevention and control program.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Reasonably accommodate the needs and preferences of each resident.
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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 resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Honor the resident's right to choose his or her attending physician.
Provide timely, quality laboratory services/tests to meet the needs of residents.
17 citations from earlier inspection cycles — historical, not current (expand)
Provide timely, quality laboratory services/tests to meet the needs of residents.
Provide enough food/fluids to maintain a resident's health.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Reasonably accommodate the needs and preferences of each resident.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide and implement an infection prevention and control program.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide or get specialized rehabilitative services as required for a resident.
Provide enough food/fluids to maintain a resident's health.
Document what happened
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