Inspection·June 27, 2025

F 0551 Give the resident's representative the ability to exercise the resident's rights. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review the facility failed to notify the resident's Power of Attorney (POA, allows someone else to manage the personal and financial matters of another person) for one of two sampled residents (Resident 1). For Resident 1, the facility failed to notify Resident 1's POA when Resident 1 had an appointment for Magnetic Resonance Imaging (MRI, medical imaging procedure for making images of the internal structures of the body) on 6/25/25. This deficient practice resulted in Resident 1 and Resident 1's POA not given their right to participate in decision making before services were provided.Findings. During a review of the admission Record indicated the facility admitted Resident 1 on 11/21/24 with diagnoses including dementia (a progressive state of decline in mental abilities), hypertension (high blood pressure) and depression. During a review of the History and Physical dated 2/15/25 indicated Resident 1 does not have the capacity to understand and make decisions. During a review of the Minimum Data Set (MDS, a resident assessment tool) dated 5/30/25 indicated Resident 1 had moderately impaired cognitive function. Resident 1 was dependent on toileting hygiene, needed maximal assistance (helper does more than half the effort) with shower/bathe, lower body dressing, putting on/taking off footwear and needed moderate assistance (helper does less than half the effort) with eating, oral hygiene, upper body dressing and personal hygiene. During a review of the Physician Order dated 5/19/25 at 12:23 p.m., Resident 1's physician gave an order for MRI of the brain for evaluation of confusion.During a review of the Physician Order dated 6/16/25 at 10:02 am., indicated Resident 1 had an appointment on 6/25/25 at 11 a.m. for the MRI of the brain. During an interview on 6/25/25 at 3:03 p.m. Resident 1's POA stated the facility failed to notify her that Resident 1 had an appointment for the MRI. POA stated she always accompany Resident 1 for Resident 1's appointments because Resident 1 could not advocate for herself. During an interview on 6/27/25 at 11:19 a.m., licensed vocational nurse (LVN 1) stated she arranged Resident 1's MRI appointment but did not notify Resident 1's POA. LVN 1 stated Resident 1's POA should have been notified about Resident 1's appointment. During an interview on 6/27/25 at 12 p.m., the director of nursing (DON) stated Resident 1's POA should be notified about the appointment because Resident 1 was unable to decide for herself. During a review of the facility Policy titled Resident Rights reviewed on 5/19/25 indicated residents had the right to choose a physician and treatment, participate in decisions and care planning, .including involving representatives. The same Policy indicated the residents had the right to be fully informed and participate in their treatment in a language they can understand. Residents Affected - Few 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 3 Event ID: 056157 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 056157 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Alvarado Care Center 1154 S.Alvarado St Los Angeles, CA 90006 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)