Inspection Reports for
Summer House at Ladera Heights

The facility was found to have several Type B deficiencies including lack of grab bars in all resident shower areas, staff without updated First Aid certificates, missing health screenings for staff, incomplete medical assessments for residents, missing pre-admission appraisal for one resident, and failure to conduct quarterly fire drills.

The allegation that a resident was restrained by the hands to the bedrails was found to be substantiated based on evidence gathered, interviews, and records reviewed.

The investigation substantiated that Resident #1 was restrained to the bedrails using cloth restraints around the wrists, which posed an immediate health and safety risk. Staff admitted to restraining the resident to prevent removal of a Foley catheter and scratching wounds. A citation was issued for violation of personal rights regulations.

The allegation that a resident was restrained by the hands to the bedrails was found to be substantiated based on evidence gathered, interviews, and records reviewed.

The investigation found that Resident #1 was restrained to the bedrails using cloth restraints around the wrists while wearing gloves, which was substantiated as a violation of personal rights. Staff admitted the restraints were used to prevent the resident from removing a Foley catheter and scratching wounds. A citation was issued for this deficiency.

The facility was generally found to be clean, safe, and well-maintained with proper infection control and medication management practices. However, deficiencies were cited related to missing staff training records, incomplete resident files, outdated emergency drill documentation, and an outdated emergency plan.

The facility was generally found to be clean, safe, and well-maintained with proper supplies and equipment. However, deficiencies were cited related to missing staff training records, incomplete resident files, lack of recent emergency drills, and outdated emergency plan documentation.

The complaint alleged that after a resident was transferred to the Emergency Department, attempts to contact facility staff were unsuccessful, resulting in the resident being transferred back to the hospital. The investigation found no evidence to support this allegation and it was unsubstantiated.

The investigation included interviews with staff and residents, a facility tour, and document reviews. The allegation was found to be unsubstantiated as there was no preponderance of evidence to prove the alleged violation occurred. A technical violation was issued.

The complaint alleged that after a resident was transferred to the Emergency Department, attempts to contact the facility staff were unsuccessful, resulting in the resident being transferred back to the hospital. The allegation was unsubstantiated after investigation.

The investigation included interviews with staff and residents, a facility tour, and document reviews. No evidence was found to substantiate the allegation, and staff and residents reported no issues with residents returning to the facility. The allegation was determined to be unsubstantiated.

The facility was found to have several deficiencies including expired first aid documentation for staff, lack of auditory device on a sliding exit door, missing personal property forms for some clients, facility walls in poor condition, expired administrator certification, and lack of proof of liability insurance. Plans of correction were requested with due dates.

The inspection found multiple deficiencies including expired first aid documentation for staff, lack of auditory exit monitoring devices, missing personal property forms for residents, facility cleanliness and maintenance issues, expired administrator certification, and lack of proof of liability insurance. Plans of correction were required for all deficiencies.

During the follow-up visit, some deficiencies remained uncorrected, including unlocked medication cabinets and hot water temperature issues. Some hazardous items were removed from resident-accessible areas, but locks on medication cabinets were present but not engaged.

The follow-up visit found that some deficiencies from 7/21/2023, including unlocked medication cabinet and accessible cleaning chemicals, had not been fully corrected, resulting in civil penalties being issued.

Several deficiencies were observed including hot water temperature in the kitchen exceeding the allowed maximum, unlocked medication cabinet, improper bed linens, postural supports without physician prescription, and accessible toxic cleaning supplies posing immediate health and safety risks to residents.

Multiple deficiencies were observed including hot water temperature exceeding the allowed maximum, unlocked medication cabinet, improper bed linens, postural supports without physician prescription, and accessible toxic cleaning supplies posing immediate health and safety risks to residents.

Two deficiencies were cited during the inspection: water temperature in the bathroom and kitchen was found to be 131.5°F, exceeding the allowed maximum of 120°F, posing an immediate health and safety risk; and the facility oven was not operational, posing a potential health and safety risk. Four technical assistance advisories were also issued.

Two deficiencies were cited during the inspection: water temperature in the bathroom and kitchen was found to be 131.5°F, exceeding the allowed maximum of 120°F, posing an immediate health and safety risk; and the facility oven was not operational, posing a potential health and safety risk. Four technical assistance advisories were also issued.

Several deficiencies were observed including excessively high hot water temperature, unlocked storage of knives and scissors, lack of a non-slip mat in the bathroom, and a non-operational oven. The annual inspection was not completed due to time constraints and will be continued at a later date.

Several deficiencies were observed including excessively high hot water temperature, unlocked drawers and closets containing knives and scissors, lack of a non-slip mat in the bathroom, and a non-operational oven. Due to time constraints, the annual inspection was not completed and will continue at a later date.

The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. Five deficiencies were cited during the inspection, and four technical assistance advisories were issued. Infection control practices including screening protocols and sanitizing stations were observed.

Five deficiencies were cited during the visit, including issues with hot water temperature exceeding safe limits, unsafe storage of cleaning chemicals, maintenance problems such as a dresser without handles, incomplete and outdated resident medication records, and a resident housed in a converted garage shared with staff posing health and safety risks.

Five deficiencies were cited during the visit, including issues with hot water temperature exceeding safe limits, unsafe storage of cleaning chemicals, maintenance problems with resident furniture, incomplete resident records, and unsafe resident accommodations.

The facility was observed to be sanitary, appropriately furnished, and compliant with Title 22 regulations. Five deficiencies were cited during the inspection, and four technical assistance notes were issued.

The allegation that a resident was restrained by the hands to the bedrails was found to be substantiated based on evidence gathered, interviews, and records reviewed.

The investigation found that Resident #1 was restrained to the bedrails using cloth restraints around the wrists, which was substantiated as a violation of personal rights. Staff admitted to restraining the resident to prevent removal of a Foley catheter and scratching wounds, despite repeated instructions from a home health nurse to remove the restraints.

The complaint investigation was substantiated. Allegation #1 of severe neglect resulting in a resident developing a pressure injury was substantiated. Allegation #2 that the facility failed to address the resident's change in medical condition was also substantiated. An enhanced civil penalty determination is pending related to serious bodily injury.

The investigation substantiated the allegations of severe neglect and failure to address the resident's change in medical condition. Resident #1 had multiple pressure injuries upon admission and during care, and the facility retained the resident despite prohibited health conditions. The resident was hospitalized multiple times and expired on 12/04/2019.

The allegation that Resident #1 was restrained by the hands to the bedrails was found to be SUBSTANTIATED based on evidence gathered, interviews, and records reviewed.

The investigation substantiated that Resident #1 was restrained to the bedrails using cloth restraints around the wrists, which posed a potential health and safety risk. A deficiency was cited under California Code of Regulations Title 22, Division 6, Chapter 8.