complaint·October 17, 2025

Southern California Hospital at Culver City patient order history dated 6/18/2025, and home health notes dated 4/20/2025-5/27/2025 and LPA Allen also conducted an interview with R1. The investigation revealed the following: On 06/26/2025 , LPA reviewed R1’s home health notes dated 04/20/2025 – 05/27/2025 , which revealed that facility staff ensured R1 received catheter cleaning/care from Terraza Court facility staff, in addition to care provided by Connect HealthCare. Connect HealthCare notes dated 04/25/2025, 04/29/2025, 05/01/2025, 05/06/2025, 05/12/2025, 05/20/2025, and 05/27/2025 were reviewed. Connect HealthCare documentation further indicated that both caregivers and patient were educated and informed about catheter cleaning/care and demonstrated comprehension of the information provided during each visit. Records also revealed that R1 has a history of medical complications due to manipulating the catheter against medical advice. At 10:00 AM on 10/17/2025 , LPA conducted interviews with Residents 1- 7 (R1–R7). Of those interviewed, 1 out of 7 residents stated they receive assistance with catheter cleaning/care and understand the information provided by the nurse during visits. R2, R3, and R4 also stated that staff members assist them with their care. LPA attempted to interview R5, R6, and R7; however, they were unable to engage in a clear conversation. LPA also interviewed Staff Members 1 - 6 (S1-S6) Of those interviewed, 6 out of 6 staff members stated that residents are assisted with their care needs, including catheter cleaning/care. Staff also reported understanding their responsibilities when providing catheter cleaning/care and confirmed they comprehend the information provided by the nurse during visits. Additionally, staff acknowledged that if further medical care is needed by a medical professional residents are either sent out for medical visits or home health professionals are contacted for facility visits. LPA also observed training documents for catheter cleaning/care signed by staff members dated 6/11/2025. Records revealed that R1 received catheter cleaning/care from both medical professionals and facility staff from the date of admission on 03/10/2025 until the discharge date of 09/08/2025 from Connect Healthcare. Continued Based on LPA’s observations, interviews conducted, and records reviewed, the preponderance of evidence standard has not been met . which means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is Unsubstantiated . An exit interview was conducted, during which this report was discussed and provided to Michelle Brown- Wellness Director at the conclusion of the visit, along with appeal rights.