Schmitt Woodland Hills

Inspectors wroteNumber of residents sampled:15Number of residents cited: 2 OF 15 SAMPLED Based on observation, record review and staff interview, the facility did not ensure the resident's care plan was updated to reflect current care needs for 2 Resident (R33 and R41) of 15 sampled residents. R33's care plan reflected R33 should always have bilateral hand splints on except for at mealtime. Surveyor made observations of R33 without hand splints on. Staff had discontinued hand splints and started using washcloths in place of hand splints and had not updated the care plan. R41's care plan contained precautions from a Norovirus outbreak that occurred in the facility from December into January. The care plan was not discontinued once the outbreak was over. R41's care plan also contained a care plan for the use of an antidepressant which R41 is no longer taking.

Inspectors wroteBased on observation, interview, and record review the facility did not ensure residents with limited range of motion, received appropriate treatment and services to increase range of motion/mobility and/or to prevent further decrease in range of motion/mobility for 1 of 2 residents (R33) reviewed for range of motion (ROM). R33 did not receive her bilateral hand splints/wash clothes, cervical pillow per comprehensive care plan and therapy recommendations. This is evidenced by:The facility policy entitled Prevention of Decline in Range of Motion, dated 1/10/26, states, in part: . Policy: Residents who enter the facility without limited range of motion will not experience a reduction in range of motion unless the resident's clinical condition demonstrated that a reduction in range of motion is unavoidable. Policy Explanation and Compliance Guidelines:1. [...]

Inspectors wroteBased on observation, interview, and record review, the facility did not ensure a resident with a catheter receives appropriate treatment and services to prevent urinary tract infections for 1 of 1 resident (R6) reviewed for catheter care. Staff failed to perform proper hand hygiene with R6's catheter care. Staff did not perform hand hygiene in between removing soiled dressing, cleansing catheter site, and applying new dressing. Evidenced by:The facility policy entitled Hand Hygiene, dated 2023, states, in part: . Policy: All staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors. Policy Explanation and Compliance Guidelines:1. Staff will perform hand hygiene when indicated, using proper technique consistent with accepted standards of practice.2. [...]

Inspectors wroteNumber of residents sampled:15Number of residents cited:1 o2 for hospiceBased on interview and record review, the facility did not ensure hospice collaboration and communication processes were established to ensure continuity of care between hospice and the facility for 1 of 2 resident (R1) reviewed for hospice. R1's current hospice plan of care was not available to facility staff. This is evidenced by: The facility's Coordination of Hospice Services policy, reviewed/revised 1/2/26, states, in part: .3. The plan of care will identify the care and services that each entity will provide in order to meet the needs of the resident and his/her expressed desire for hospice care. The hospice provider retains primary responsibility for the provision of hospice care and services that are necessary for the care of the resident's terminal illness and related conditions. [...]

Inspectors wroteBased on record review and staff interview, the facility did not post the actual hours for licensed and unlicensed staff scheduled and did not update the postings in real time on the daily nurse staffing postings during the months of February and March 2026. This has the potential to affect all 40 residents in the facility. The facility's Nursing Staff postings were not updated and do not reflect actual hours worked and were not updated in real time to reflect any admission, discharges or staff call ins or additions. Evidenced by:Division of Quality Assurance (DQA) memo 12-020 titled Clarification Concerning Posting Requirements for Nurse Staffing documents: Required Staffing Information .Nursing homes must post information about the number of staff directly responsible for resident care on each shift. [...]

Inspectors wroteBased on observation, interview and record review, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. This has the potential to affect the facility census of 35. A kitchenette dishwasher was not registering the correct wash and rinse temperatures. Facility staff were observed touching multiple items in the kitchenette while serving and handling food without performing proper hand hygiene. Evidenced by: The 2022 FDA (Food and Drug Administration) Food Code states under 4-501.110 Mechanical Warewashing Equipment, Wash Solution Temperature and 4-501.112 Mechanical Warewashing Equipment, Hot Water Sanitization Temperatures state that wash temperatures of a high temperature sanitizing dishwasher must reach 160 degrees Fahrenheit, and the rinse temperature must reach 180 degrees Fahrenheit. [...]

Inspectors wroteBased on observation, interview and record review, the facility did not ensure that all residents are clinically appropriate to self-administer medications for 1 of 6 residents (R4) observed during medication pass. R4 was observed to have her medications left at bedside. This is evidenced by: The facility policy entitled Resident Self-Administration of Medication, with a date reviewed 11/26/24, states, in part: . Policy: It is the policy of this facility to support each resident's right to self-administration medication. A resident may only self-administer medications after the facility's interdisciplinary team has determined which medications may be self-administered safely. Policy Explanation and Compliance Guidelines: 1. Each resident is offered the opportunity to self-administer medications during the routine assessment by the facility's interdisciplinary team. 2. [...]

Inspectors wroteBased on interview and record review, the facility failed to protect 1 of 35 residents (R19's) right to be free from verbal/mental/emotional abuse by a CNA (Certified Nursing Assistant). R19 stated CNA E was rude and demeaning to her, yelled at her, and was rough with her during AM (morning cares). R19 stated she was treated like a dog, or worse than a dog, treated like dirt, because she wouldn't treat a dog that way. Evidenced by: Facility policy titled Reporting Resident Abuse, Neglect, and Exploitation, dated 9/17/2007, with last revision date of 9/12/2024, states in part: .All allegations of resident/client physical, mental or sexual abuse, neglect, mistreatment . are to be reported to one's supervisor immediately . Incidents will be reported to the Administrator and licensing agency as required . Definitions: 1. Abuse: [...]

Inspectors wroteBased on interview and record review, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment are reported immediately, but no later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse to the appropriate agencies for 1 of 1 abuse allegations of residents (R19). R19 reported an abuse allegation involving CNA E (Certified Nursing Assistant) that occurred on 10/26/24. This incident was reported to NHA A (Nursing Home Administrator), DON B (Director of Nursing), and CSW H (Certified Social Worker), but was not reported to the state agency. Evidenced by: Facility policy titled Reporting Resident Abuse, Neglect, and Exploitation, dated 9/17/2007, with last revision date of 9/12/2024, states, in part: .All allegations of resident/client physical, mental or sexual abuse, neglect, mistreatment . [...]

Inspectors wroteBased on interview and record review, the facility did not ensure all alleged allegations of abuse were thoroughly investigated for 1 of 1 resident (R19) reviewed for abuse. On 10/28/24, the facility became aware R19 reported an allegation of verbal/mental abuse by a Certified Nursing Assistant (CNA); the facility did not conduct a thorough investigation. Evidenced by: Facility policy titled Reporting Resident Abuse, Neglect, and Exploitation, dated 9/17/2007, with last revision date of 9/12/2024, states, in part: .All allegations of resident/client physical, mental or sexual abuse, neglect, mistreatment . are to be reported to one's supervisor immediately . Incidents will be reported to the Administrator and licensing agency as required. A full investigation will follow and be completed within 5 working days . Definitions: 1. Abuse: [...]

Inspectors wroteBased on observation and interview, the facility did not ensure that each resident receives food and drink that is palatable and at a safe and appetizing temperature for 1 of 12 sampled residents (R19) and 2 supplemental residents (R34 and R29). R19, R29, and R34 voiced concerns of food being dry and cold. 1 of 1 test trays were noted to have dry pork served. Evidenced by: The facility policy, titled Dining Room Service, dated 2019, states in part: . Meals will be served promptly to maintain adequate temperature and appearance . Example 1 R19 was admitted to the facility on [DATE]. Her most recent Minimum Data Set (MDS), with an ARD (Assessment Reference Date) of 11/7/24, indicates her cognition is intact with a Brief Interview of Mental Status (BIMS) of 15 out of 15. [...]