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Hancock Park Rehabilitation Center
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857969218
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(Provided by Gilbert Guide's on-site reviewer)
Hancock Park Rehabilitation Center shares a plot of land with its affiliated assisted living facility in a conveniently located middle-class neighborhood. With Melrose boutiques and the shops at The Grove and the Beverly Center close by, the area is exciting and busy. During our visit, we admired the simple beauty of colorful leaves scattered around the simple white building. The patio, bordered by flowers and bushes, appeared to be a popular spot for residents, with shaded tables and plenty of seating.
The recently renovated interior is far more intricate than one would imagine from the outside. Earth tones beautify the walls and furniture, complementing the dark hardwood floors. Unique ceiling lights hang in the lobby, with a sturdy, glass-topped coffee table at its center. Two rooms, also with hardwood floors, host dining and activities. The larger one contains a big-screen TV, and both display seasonal décor as well as bulletin boards posted with announcements. The physical therapy room is remarkable; inside, residents have use of a variety of equipment, the oddest of which is the shell of a car! It has proven invaluable for those who need to relearn how to enter and exit a vehicle. The occupational therapy experience is also hands-on—a washer, dryer and bed create a homelike atmosphere in a separate room, where residents actually apply the exercises they have relearned. Part of this room is set up like a grocery store, so residents can practice reaching for items. The living quarters are spacious, with moderately sized bathrooms. Matching bedding and window treatments create a homey feel. Subacute residents, most on ventilators, occupy their own wing.
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 09/14/2007 Health Survey for Hancock Park Rehabilitation Center
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm |
| Train all employees on what to do in an emergency. | Widespread | Potential for minimal harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that staff members wash their hands when needed. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the attending doctor orders special diets. | Isolated | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Pattern | Minimal harm or potential for actual harm |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Pattern | Minimal harm or potential for actual harm |
| Make sure that residents are safe from serious medication errors. | Pattern | Minimal harm or potential for actual harm |
| Properly mark drugs and other similar products. | Pattern | Potential for minimal harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Pattern | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm |
| Provide activities to meet the needs of each resident. | Pattern | Minimal harm or potential for actual harm |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Isolated | Minimal harm or potential for actual harm |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm |
- 09/10/2007 Fire Safety Survey for Hancock Park Rehabilitation Center
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an automatic smoke detection system in all hallways. | Pattern | Minimal harm or potential for actual harm |
| a fire alarm system that can be heard throughout the facility. | Isolated | Minimal harm or potential for actual harm |
- 06/27/2006 Health Survey for Hancock Park Rehabilitation Center
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm |
| Train all employees on what to do in an emergency. | Widespread | Potential for minimal harm |
| Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm |
| Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | Pattern | Minimal harm or potential for actual harm |
| Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm |
| Provide needed housekeeping and maintenance. | Isolated | Minimal harm or potential for actual harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Pattern | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the attending doctor orders special diets. | Isolated | Minimal harm or potential for actual harm |
| Store, cook, and give out food in a safe and clean way. | Widespread | Potential for minimal harm |
| Offer other nutritional food to each resident who will not eat the food served. | Pattern | Potential for minimal harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Pattern | Minimal harm or potential for actual harm |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Pattern | Minimal harm or potential for actual harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Widespread | Potential for minimal harm |
| Properly mark drugs and other similar products. | Widespread | Potential for minimal harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Pattern | Minimal harm or potential for actual harm |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Pattern | Minimal harm or potential for actual harm |
| Provide activities to meet the needs of each resident. | Pattern | Minimal harm or potential for actual harm |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Pattern | Minimal harm or potential for actual harm |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Pattern | Potential for minimal harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Assess the resident when the resident enters the nursing home, in a timely manner. | Pattern | Minimal harm or potential for actual harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm |
| Do a new assessment after any major change in a resident's physical or mental health. | Isolated | Minimal harm or potential for actual harm |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Minimal harm or potential for actual harm |
| Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. | Pattern | Potential for minimal harm |
| Keep assessments completed in the preceding 15 months in the resident's active record. | Pattern | Potential for minimal harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide services to meet the needs and preferences of each resident. | Pattern | Minimal harm or potential for actual harm |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm |
| Allow residents to easily see the results of the nursing home's most recent survey. | Pattern | Potential for minimal harm |
- 06/16/2006 Fire Safety Survey for Hancock Park Rehabilitation Center
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Widespread | Potential for minimal harm |
- 05/13/2005 Fire Safety Survey for Hancock Park Rehabilitation Center
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| a fire alarm system that can be heard throughout the facility. | Pattern | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Isolated | Minimal harm or potential for actual harm |
| Interior Finish | ||
| Deficiency | Scope | Level of Harm |
| fire-resistant room wall surfaces. | Pattern | Minimal harm or potential for actual harm |
| Miscellaneous | ||
| Deficiency | Scope | Level of Harm |
| fire safety features required by current fire safety codes. | Widespread | Potential for minimal harm |
- 04/14/2005 Health Survey for Hancock Park Rehabilitation Center
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Train all employees on what to do in an emergency. | Pattern | Potential for minimal harm |
| Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. | Pattern | Potential for minimal harm |
| Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm |
| Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm |
| Make sure that staff members wash their hands when needed. | Isolated | Minimal harm or potential for actual harm |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Widespread | Potential for minimal harm |
| Provide needed housekeeping and maintenance. | Pattern | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Pattern | Minimal harm or potential for actual harm |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Minimal harm or potential for actual harm |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Offer other nutritional food to each resident who will not eat the food served. | Isolated | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Properly mark drugs and other similar products. | Pattern | Potential for minimal harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give or get special rehabilitation if in the patient's plan of care. | Isolated | Minimal harm or potential for actual harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Provide activities to meet the needs of each resident. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm |
| Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. | Isolated | Minimal harm or potential for actual harm |
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