Health inspection·February 4, 2026

F 0554 Allow residents to self-administer drugs if determined clinically appropriate. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure that a resident who was assessed as clinically appropriate to self-administer medications, had a physician's order to self-administer or store medications at bedside prior to self-administering or storing medications at bedside, and demonstrated the ability to safely and securely store medications for one of seven sampled residents (Resident 2). This deficient practice had the potential for other residents to access and ingest the medications, which could result in serious health complications and had the potential to result in unsafe medication administration or omission (the act of not including something that should have been included) for Resident 2.Findings: During a review of Resident 2's admission Record, the admission Record indicated the facility admitted Resident 2 on 1/15/2026 with diagnoses including cirrhosis of liver (permanent scarring that damages the liver and interferes with its functioning), diabetes mellitus (DM - a disorder characterized by difficulty in blood sugar control and poor wound healing), and chronic respiratory failure (CRF - a long-term condition that happens when the lungs cannot get enough oxygen into the blood ) with hypoxia (a dangerous medical condition where your body tissues are starved of enough oxygen to function properly). During a review of Resident 2's Minimum Data Set (MDS - a resident assessment tool) dated 1/20/2026, the MDS indicated Resident 2 had the ability to make her understood and understand others. The MDS further indicated that Resident 2 needed supervision or touching assistance with eating, needed moderate assistance (helper provides less than half of the effort) from staff with oral hygiene, and needed maximal assistance (helper provides more than half of the effort) from staff with bed mobility (movement) and transfer. During a review of Resident 2's Self-Administration of Medication (SAOM) dated 2/2/2026, Registered Nurse 1 (RN 1) marked to indicate that Resident 2 was fully capable of storing medications in a secure location. During a review of Resident 2's physician's orders, the physician orders indicated the following orders: May leave the medications at bedside and can self-administer medications, XyliMelts (used to relieve dry mouth) and Biotene oral gel (a thick, soothing, saliva-substitute gel that acts as a long-lasting moisturizer for dry, sticky mouths). Order Date: 2/3/2026 timed at 3:32 p.m. Biotene oral gel, give two (2) centimeters (cm - a unit of measurement) by mouth as need for dry mouth, place directly on the tongue and spread thoroughly inside the mouth. May keep medications at bedside. Resident 2 notify charge nurses before taking medication. Order Date: 2/3/2026 timed at 5:17 p.m. XyliMelts 500 mg, give one (1) tablet by mouth every two (2) hours as needed for dry mouth, place on gum line, allow to dissolve. Do not chew or swallow. May keep medications at bedside. Resident 2 to notify charge nurses before taking medications. Order Date: 2/3/2026 timed at 5:28 p.m. During a concurrent observation and interview on 2/3/2026 at 10:23 a.m., in Resident 2's room, observed Resident 2 sitting in the wheelchair next to her bed. Resident 2 stated that she needed to take medications and pointed at the bottle of XyliMelts and Biotene oral gel which were on top of the resident's bedside table. When Resident 2 was asked if she was instructed to call a nurse prior to taking the medications, Resident 2 Residents Affected - Few (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 056133 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 056133 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/04/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE West Hills Health and Rehabilitation Center 7940 Topanga Canyon Blvd. Canoga Park, CA 91304 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)