Life Care Center of North Glendale

Inspectors wroteBased on observation, staff interviews, and facility policy and procedure the facility failed to ensure that food items were stored, dated, and labeled in accordance to professional standards. The deficient practice could lead to food borne illnesses. Findings Include:Observation of freezer on June 9, 2026 at 8:21 A.M. with Food Service Director (staff #45) revealed two personal size pepperoni pizzas and four burritos were not covered, open to air and not dated. Observation of #1 refrigerator on June 9, 2026 at 8:23 A.M. revealed a tray of individual clear cups with lids containing tartar sauce and coleslaw that were not dated. Also, a gallon container of relish that was half full did not have an open date. Observation of dry storage area on June 9, 2026 at 8:35 A.M. revealed a box of rainbow sprinkles open and no date of when opened. [...]

Inspectors wroteBased on clinical record review, staff interview, and policy and procedure, the facility failed to ensure that Preadmission Screening and Resident Review Screening (PASRR) was completed for one of two residents (#6), the universe was 125, with a diagnosis of a serious Mental Illness (MI) was referred to the appropriate state-designated authority and determination received. The deficient practice could result in residents not receiving the necessary specialized services that they require. Findings Include:Resident #6 was admitted to the facility on [DATE], with diagnoses that included schizophrenia, major depressive disorder, anxiety disorder, type 2 diabetes mellitus, heart failure and renal failure. [...]

Inspectors wroteBased on a review of clinical records, staff and resident interviews, and facility policies and procedures, the facility failed to ensure that pain medication for one (Resident #132) of nineteen sampled residents was administered in accordance with physician orders. The facility census was 125. This deficient practice had the potential to result in overmedication, adverse drug effects, impaired pain management, and inaccurate assessment of the resident's pain status.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure toenail care was provided in accordance with professional standards of practice for one of two sampled residents (Resident #66). This deficient practice places residents with diabetes at risk for inadequate nail care which can result in infection, pain, discomfort, impaired mobility, and worsening nail conditions. The universe was 125 and the sample 2.

Inspectors wroteBased on review of the clinical record, resident and staff interviews, observations, facility documentation, and policy and procedure, the facility failed to ensure respiratory care was provided with professional standards of practice for one resident (#59). The deficient practice could result in care or services that do not meet residents' needs. The universe was 125 and the sample size was 1.

Inspectors wroteBased on observations, clinical record reviews, facility documentation, staff and resident interviews, and policy and procedures, the facility failed to ensure that medications were secured in a locked storage area and were accessible only to authorized personnel for Residents #27 and #66. The universe was 125, and the sample size was 2.

Inspectors wroteBased on documentation, staff and resident interviews, the facility policy and procedures, the facility failed to ensure sufficient staffing to provide for the needs of the residents. The deficient practice could result in residents not receiving the assistance required to complete care tasks.

Inspectors wroteBased on documentation, staff interviews, and the facility policy and procedures, the facility failed to ensure that residents are free from abuse from other residents. The deficient practice could result in residents being physically and emotionally injured.

Inspectors wroteBased on observation, interviews, and records review the facility failed to ensure the physician was notified of a change of condition for one resident (#5). The deficient practice could result in delayed treatment.

Inspectors wrote-Resident #92 was admitted to the facility on [DATE] with diagnoses that included sepsis, bipolar disorder and depression. Review of the Level I PASRR dated 3/09/2023 included the diagnoses of bipolar disorder and depression. Per the documentation, the resident had not exhibited any interpersonal symptoms or behaviors (not due to a medical condition) and she received antidepressant medication daily. However, review of the physician's orders dated 03/09/2023 included: -Risperidone (antipsychotic) 2 milligrams (mg). Give 1 tablet via G-tube at bedtime for bipolar disorder with a target behavior of striking out. -Sertraline HCL (antidepressant) 50 mg. Give 1 tablet daily for depression with a target behavior of lack of motivation. A risk for change in mood or behavior care plan dated 03/10/2023 related to her medical condition had a goal to allow staff to assist her with basic needs. [...]

Inspectors wroteBased on resident and staff interviews, and facility policy and procedure review, the facility failed to ensure multiple residents were able voice grievances without fear of discrimination or reprisal. The deficient practice could result in residents not able to exercise their right to voice grievances.

Inspectors wroteBased on observations, clinical record review, resident and staff interviews, facility documentation and policy and procedures, the facility failed to ensure that two residents (#257 and #8) received consistent showers, per the facility shower schedule. The sample size was 3. The deficient practice could result in residents' hygiene needs not being met.

Inspectors wroteBased on clinical record review, resident and staff interviews, and policy review, the facility failed to ensure that restorative services were provided for one sampled resident (#8) with limited mobility as ordered. The deficient practice could result in residents not being provided with services they need.

Inspectors wroteBased on observations, clinical record reviews, resident and staff interviews, the Facility Assessment, and review of policy and procedures, the facility failed to ensure there was sufficient staff to ensure resident safety and to meet the residents' needs. The deficient practice could result in residents not receiving the assistance they need to promote their rights, physical, mental and psychosocial well-being.

Inspectors wroteBased on clinical record review, staff interviews, and the facility's policy and procedure, the facility failed to ensure one resident (#87) was treated with respect, and in a dignified manner. The sample was 25. The deficient practice could result in residents not being treated with respect.

Inspectors wroteBased on clinical record review, staff interviews, and facility policy and procedures, the facility failed to ensure a written notice of transfer/discharge was sent to the Office of the State Long Term Care Ombudsman regarding one resident's (#260) discharge. The sample size was 3. The deficient practice could result in the Ombudsman not receiving a copy of residents' transfers/discharges.

Inspectors wroteBased on clinical record review, staff interviews, and facility policy and procedures, the facility failed to ensure discharge planning included developing a discharge care plan that included ensuring that one resident (#260) was discharged to a safe environment. The sample size was 3. The deficient practice could result in residents not receiving the care and services needed post discharge.

Inspectors wroteBased on clinical record reviews, staff interviews, and facility policy and procedures, the facility failed to ensure multiple medications were administered as ordered for two of five sampled residents (#22 and #56). The deficient practice could result in residents receiving unnecessary medications.

Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to ensure that one resident (#38) who was receiving a psychotropic medication was monitored for behaviors. The sample size was 5. The deficient practice could result in residents receiving medications that may not be necessary.

Inspectors wroteBased on observations, staff interviews, and policy reviews, the facility failed to ensure infection control procedures were followed during mealtime, and for one resident (#59) during medication administration. The deficient practice could result in the spread of infection.