Olympia Convalescent Hospital

Inspection Results

Nursing Homes California Los Angeles Olympia Convalescent Hospital

Olympia Convalescent Hospital has been cited for a total of 100 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 Olympia Convalescent Hospital.

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

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-10-24

Corrected:

2023-11-10

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-08-10

Corrected:

2022-08-22

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-08-10

Corrected:

2022-08-22

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-06-02

Corrected:

2022-06-15

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-06-02

Corrected:

2022-06-15

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-04-20

Corrected:

2022-05-04

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-04-20

Corrected:

2022-05-04

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-23

Corrected:

2022-03-09

Implement a program that monitors antibiotic use.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-23

Corrected:

2022-03-09

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-23

Corrected:

2022-03-09

Implement a program that monitors antibiotic use.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-02-23

Corrected:

2022-03-09

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

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:

2021-12-10

Corrected:

2022-01-05

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:

2021-12-10

Corrected:

2022-01-05

Ensure medication error rates are not 5 percent or greater.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

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:

2021-12-10

Corrected:

2022-01-05

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:

2021-12-10

Corrected:

2022-01-05

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

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:

2021-12-10

Corrected:

2022-01-05

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

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:

2021-12-10

Corrected:

2022-01-05

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

Ensure medication error rates are not 5 percent or greater.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

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:

2021-12-10

Corrected:

2022-01-05

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-12-10

Corrected:

2022-01-05

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:

2021-12-10

Corrected:

2022-01-05

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-11-30

Corrected:

2021-12-14

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-11-30

Corrected:

2021-12-14

Respond appropriately to all alleged violations.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-09-25

Corrected:

2021-10-05

Respond appropriately to all alleged violations.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-09-25

Corrected:

2021-10-05

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-09-24

Corrected:

2021-10-04

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-09-24

Corrected:

2021-10-04

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:

2021-07-29

Corrected:

2021-08-16

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-07-29

Corrected:

2021-08-16

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

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-07-29

Corrected:

2021-08-16

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:

2021-07-29

Corrected:

2021-08-16

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-07-29

Corrected:

2021-08-16

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

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-07-29

Corrected:

2021-08-16

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:

2021-07-12

Corrected:

2021-07-20

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:

2021-07-12

Corrected:

2021-07-20

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:

2021-06-28

Corrected:

2021-07-09

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:

2021-06-28

Corrected:

2021-07-09

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:

2021-06-28

Corrected:

2021-07-09

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:

2021-06-28

Corrected:

2021-07-09

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-12-21

Corrected:

2020-12-30

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-12-21

Corrected:

2020-12-30

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-11-30

Corrected:

2020-12-15

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-10-20

Corrected:

2020-10-29

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-08-17

Corrected:

2020-08-26

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Keep residents' personal and medical records private and confidential.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

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:

2019-09-06

Corrected:

2019-10-07

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:

2019-09-06

Corrected:

2019-10-07

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

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

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Keep residents' personal and medical records private and confidential.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

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:

2019-09-06

Corrected:

2019-10-07

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:

2019-09-06

Corrected:

2019-10-07

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

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

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-09-06

Corrected:

2019-10-07

Ensure that residents are fully informed and understand their health status, care and treatments.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

Ensure that residents are fully informed and understand their health status, care and treatments.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

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:

2018-09-07

Corrected:

2018-09-28

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-09-07

Corrected:

2018-09-28

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Olympia Convalescent Hospital

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