Inspection Reports for
Advanced Health Care of Glendale

The complaint investigation was substantiated with findings that the facility failed to maintain dignity and privacy for resident #338 and failed to follow physician orders for opioid administration for patient #8.

The facility failed to ensure dignity and privacy for one resident (#338) by staff entering the bathroom without knocking and withholding certain information citing HIPAA. Additionally, the facility failed to ensure opioid medication was administered according to physician-ordered parameters for one patient (#8), with multiple instances of oxycodone given outside prescribed pain level parameters without physician notification or documentation.

State compliance survey with complaint investigation cited four deficiencies related to resident privacy, dignity, medication administration, and food service.

The facility failed to maintain dignity and privacy for one resident (#338) by not knocking before entering the bathroom and improperly handling personal information. Additionally, the facility failed to ensure opioid medication was administered according to physician-ordered parameters for one patient (#8), with oxycodone given outside prescribed pain level parameters without physician notification or documentation.

The complaint investigation was substantiated based on resident interviews and staff statements. Residents reported the CNA entered rooms without proper communication, failed to provide peri-care, and exhibited rude and uncaring behavior. The CNA was reassigned to another hallway. Residents expressed dissatisfaction with the facility's follow-up.

The facility failed to ensure residents were treated with dignity and respect, as evidenced by multiple resident complaints about a CNA's rude and uncaring behavior, including incidents of inadequate care and perceived inappropriate touching. The facility reassigned the CNA but did not adequately follow up with residents.

Complaint survey cited two deficiencies related to respect, dignity, and resident rights.

The complaint investigation was triggered by Resident #20 reporting that a male CNA (Staff #42) entered his room and changed his brief without providing peri-care, and later checked his brief without waking him, causing the resident to feel violated. Additional complaints from Residents #4 and #60 described the same CNA as rude and uncaring. The facility reassigned the CNA after complaints but did not follow up adequately with the residents.

The facility failed to ensure residents were treated with dignity and respect, as evidenced by multiple resident complaints about a CNA's rude and uncaring behavior, including failure to provide proper peri-care and inappropriate handling of residents' personal care needs.

Complaint investigation cited two deficiencies related to comprehensive care plans and nursing care plans.

The facility failed to ensure that resident #15's low oxygen level was properly monitored and treated, which could result in residents not receiving necessary care and developing complications. Documentation and staff interviews revealed lapses in oxygen level monitoring and delayed hospital transfer despite physician orders.

The complaint investigation found that the resident was hypoxic with oxygen saturation dropping to 85% without appropriate monitoring or intervention by staff. The resident was transported to the hospital after a delay, and the facility's oxygen administration policy was not fully followed. The complaint was substantiated based on clinical record review and staff interviews.

The facility failed to monitor and treat resident #15's low oxygen levels as ordered, resulting in potential harm. Documentation showed oxygen saturation dropped to 85% without timely intervention, and staff did not adequately check or document oxygen levels after 4:37 p.m. on the day of the incident. The resident was eventually sent to the hospital where congestive heart failure was diagnosed.

The facility failed to ensure medications were administered per professional standards for multiple residents, resulting in potential medication errors and adverse effects. Additionally, the facility did not provide adequate showers or timely skin assessments and treatments for a resident, risking altered skin integrity and psychosocial impact. Infection control practices during medication administration were also deficient, risking transmission of infections including COVID-19.

The facility failed to ensure medications were administered per professional standards for four residents, resulting in potential medication errors and adverse effects. Additionally, the facility did not provide adequate showers or timely skin assessments for one resident, and failed to maintain infection control standards during medication administration.