Hollenbeck Palms

Inspection Results

Nursing Homes California Los Angeles Hollenbeck Palms

Hollenbeck Palms has been cited for a total of 86 deficiencies since we began saving each survey. We believe it is worthwhile to show how things are and were. Some improve and some get worse. Rather than a snapshot, we take s longer view than most. A longer view, we believe, paints a better and more worthwhile picture. We start from them most recent and go back as you scroll down.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Hollenbeck Palms.

Since we bagan longer term (multi year tracking, numbers will naturally be higher than 3 (or so surverys).
There are 1244 nursing homes in California with a total of 104,457 deficiencies resulting in an average of 83.97 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

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Deficiency Cited, Scope, survery date, stems from a complaint, and Date of Correction

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-19

Corrected:

2023-12-13

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-19

Corrected:

2023-12-13

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-19

Corrected:

2023-12-13

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-19

Corrected:

2023-12-13

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-19

Corrected:

2023-12-13

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-19

Corrected:

2023-12-13

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-19

Corrected:

2023-12-13

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-19

Corrected:

2023-12-13

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-11-19

Corrected:

2023-12-13

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-07-16

Corrected:

2023-08-07

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-07-16

Corrected:

2023-08-07

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-07

Corrected:

2022-12-19

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-07

Corrected:

2022-12-19

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-08-29

Corrected:

2022-08-31

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-08-29

Corrected:

2022-08-31

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-03-23

Corrected:

2021-04-23

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-03-23

Corrected:

2021-04-23

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-02-03

Corrected:

2021-02-12

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-02-03

Corrected:

2021-02-12

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-12-04

Corrected:

2021-01-06

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Reasonably accommodate the needs and preferences of each resident.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-06-26

Provide enough food/fluids to maintain a resident's health.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Provide safe and appropriate respiratory care for a resident when needed.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-06-26

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Ensure each resident�s drug regimen must be free from unnecessary drugs.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-06-26

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-06-26

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Reasonably accommodate the needs and preferences of each resident.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-06-26

Provide enough food/fluids to maintain a resident's health.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Provide safe and appropriate respiratory care for a resident when needed.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-06-26

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Ensure each resident�s drug regimen must be free from unnecessary drugs.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-06-26

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-06-26

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-08

Corrected:

2019-05-23

Keep residents' personal and medical records private and confidential.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure services provided by the nursing facility meet professional standards of quality.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Provide appropriate treatment and care according to orders, resident�s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure each resident�s drug regimen must be free from unnecessary drugs.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure medication error rates are not 5 percent or greater.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure meals and snacks are served at times in accordance with resident�s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Keep residents' personal and medical records private and confidential.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure services provided by the nursing facility meet professional standards of quality.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Provide appropriate treatment and care according to orders, resident�s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure each resident�s drug regimen must be free from unnecessary drugs.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure medication error rates are not 5 percent or greater.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-03-25

Corrected:

2018-04-19

Keep residents' personal and medical records private and confidential.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-04-21

Corrected:

2017-05-10

Ensure each resident receives an accurate assessment by a qualified health professional.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-04-21

Corrected:

2017-05-10

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-04-21

Corrected:

2017-05-10

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-04-21

Corrected:

2017-05-10

Store, cook, and serve food in a safe and clean way.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-04-21

Corrected:

2017-05-10

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-04-21

Corrected:

2017-05-10

Have a program that investigates, controls and keeps infection from spreading.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-04-21

Corrected:

2017-05-10

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-04-21

Corrected:

2017-05-10

Make sure that a working call system is available in each resident's room or bathroom and bathing area.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-04-21

Corrected:

2017-05-10

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-04-21

Corrected:

2017-05-10

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Hollenbeck Palms

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