Inspection Reports for Atria Park of Pacific Palisades

An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.

The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All inspected areas, including resident rooms, bathrooms, kitchen, and safety equipment, were in good condition and compliant with regulations. No citations were issued.

An unannounced annual required inspection was conducted using the full CARE Inspection Tool to evaluate compliance with licensing regulations for the facility.

The facility was generally found to be sanitary, appropriately furnished, and compliant with many regulations, including medication administration and storage of hazardous materials. However, two deficiencies were cited: inadequate safeguards for resident property and valuables, and failure to properly identify water temperature above 125°F in the industrial kitchen.

The inspection was an unannounced complaint investigation conducted in response to allegations received on 2022-05-27 regarding inadequate supervision, dietary needs not being followed, presence of pests, and hazardous cords hanging from windows.

The investigation found no evidence to substantiate any of the allegations. Observations and interviews with residents, staff, and the administrator confirmed adequate supervision, dietary needs being followed, no pests observed, and no hazardous cords present.

The complaint investigation was unsubstantiated. Allegations included inadequate supervision, dietary needs not followed, facility pests, and hazardous cords. The investigation included facility tours, document reviews, and interviews with staff and residents, all of which did not support the allegations.

The visit was an unannounced complaint investigation conducted in response to allegations that the licensee did not bring changes in a resident's condition to the attention of the resident's physician in a timely manner and a questionable death.

The investigation found that despite the allegations, there was not a preponderance of evidence to prove the alleged violations occurred. Medical records showed consistent communication among care providers and the resident's family, and the questionable death was determined to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegation #1 regarding failure to timely notify the physician was found unsubstantiated based on thorough communication documented among medical providers and family. Allegation #2 regarding questionable death was also unsubstantiated after review of medical records and interviews.

An unannounced complaint investigation visit was conducted to investigate allegations including illegal eviction, resident injury, resident UTI, and staff failing to meet resident needs.

The investigation substantiated the allegation of illegal eviction due to failure to properly notify and obtain approval from the licensing agency. The other allegations regarding resident injury, UTI, and staff failing to meet resident needs were found to be unsubstantiated based on interviews, record reviews, and observations.

The complaint alleged illegal eviction of resident #1, resident injury, resident UTI, and staff failing to meet resident needs. The illegal eviction allegation was substantiated due to improper notification and approval process failures. The other allegations were unsubstantiated due to lack of evidence.

An unannounced complaint investigation was conducted due to an allegation that a resident developed a pressure injury while in care.

The investigation substantiated the allegation that a resident developed pressure injuries due to staff neglect and a break in home health coverage. The resident was admitted to the hospital with multiple pressure injuries, posing an immediate health and safety risk to residents in care.

The complaint was substantiated. The resident developed pressure injuries due to staff neglect and a break in home health coverage from 1/16/2020 to 2/3/2020. An immediate civil penalty of $500 was imposed.

The inspection was an unannounced complaint investigation conducted in response to an allegation that the facility did not permit the formation of a resident council.

The investigation found no evidence to support the allegation. The facility had both a resident council and a family council, with posted meeting notices and resident and staff confirmation. The allegation was determined to be unsubstantiated.

The complaint alleged that residents’ families had not been made aware of a family council until an email sent by the new Executive Director. The investigation included interviews with staff and residents, review of facility records, and observation. The allegation was found unsubstantiated.

The visit was an unannounced complaint investigation triggered by an allegation that the facility does not have sufficient staff to meet the residents' needs.

The investigation included facility tours, file reviews, and interviews with staff and residents. All interviewed residents and staff stated the facility had sufficient staff to meet residents' needs. The department found no evidence to support the allegation, and the complaint was unsubstantiated.

The complaint alleged insufficient staffing due to staff not knowing their work schedules. Interviews with the Resident Services Director and staff confirmed schedules were posted weekly and staffing levels were adequate. Residents and staff all confirmed sufficient staffing. The allegation was unsubstantiated.

The visit was an unannounced complaint investigation conducted to investigate allegations that the facility was not allowing visitors, mismanaged resident's medication, and did not communicate with resident's responsible party.

The investigation found no sufficient evidence to support the allegations. The facility had restricted visits during a Covid-19 lockdown but allowed outdoor visits, provided sufficient medications to residents when they left the facility, and maintained communication with residents' families. Therefore, all allegations were unsubstantiated.

The complaint investigation was triggered by allegations that the facility was not allowing visitors despite vaccinations and negative Covid-19 tests, mismanaged resident's medication during family visits, and failed to communicate with residents' responsible parties. The investigation concluded these allegations were unsubstantiated.

An unannounced complaint investigation was conducted in response to multiple allegations received on 10/25/2021 regarding resident care issues including timely changing, dietary requirements, hygiene, showering, activities, staffing, and feeding.

The investigation found insufficient evidence to support most allegations including residents not being changed timely, dietary requirements not followed, hygiene needs unmet, showering not timely, insufficient staffing, and residents not fed timely. However, the allegation that the facility does not have activities for residents was substantiated. Additionally, the allegation that staff did not adequately supervise a resident who was sucking on a window blind cord was substantiated, resulting in a cited deficiency.

The complaint investigation was triggered by allegations including residents not being changed timely, staff not following dietary requirements, residents' hygiene needs not met, residents not showered timely, lack of activities, insufficient staffing, residents not fed timely, and inadequate supervision resulting in a resident sucking on a window blind cord. Most allegations were unsubstantiated except for the lack of activities and inadequate supervision allegations, which were substantiated.

The inspection was an unannounced complaint investigation conducted in response to allegations that residents did not receive medication on a timely basis and that the facility did not have sufficient staff to meet residents' needs.

The investigation substantiated both allegations, finding that on October 24, 2021, 28 residents did not receive their morning medications due to staffing shortages, and that the facility was understaffed, impacting resident care and safety.

The complaint was substantiated based on evidence that residents did not receive timely medication and that the facility was understaffed. The preponderance of evidence standard was met, and citations were issued under California Code of Regulations, Title 22, Division 6, and Chapter 8.

An unannounced annual required visit was conducted with a primary focus on Infection Control measures using the new CARE Inspection Tool.

The facility was found to be sanitary, appropriately furnished, and compliant with infection control practices. No deficiencies were cited during this inspection visit.