Health inspection·July 17, 2025

F 0554 Allow residents to self-administer drugs if determined clinically appropriate. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to ensure the interdisciplinary team (IDT- a group of health care professionals with various areas of expertise who work together toward the goals of the residents' care plan) was involved in determining whether the self-administrations was clinically appropriate for one of four sampled residents (Resident 1) who was not assessed for self-administration for the use of Imodium (used to control and relieve diarrhea) oral tablets and probiotic (a pill containing live good bacteria that can help promote a healthy balance of bacteria in the body) oral tablets that were stored at the resident's bedside.This deficient practice had the potential to result in Resident 1 unsafely administering medications and unsafely access medications stored at bedside.During a review of Resident 1's admission Record, the admission Record indicated the facility admitted Resident 1 on 5/24/2025 with diagnoses including right foot fracture (broken bone), age-related cognitive (the mental action or process of acquiring knowledge and understanding through thought, experience, and senses) decline, and constipation (problem with passing stool).During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool) dated 5/28/2025, the MDS indicated Resident 1 had the ability to make herself understood and had the ability to understand others. The MDS further indicated that Resident 1 needed setup or clean-up assistance with eating, supervision or touching assistance with oral/personal hygiene, and the resident was dependent on staff sitting to lying in bed and chair transfer.During a review of Resident 1's physician orders, the physician orders indicated the following orders:- Imodium anti-diarrheal (A-D) oral tablet two milligram (mg - a unit of measurement), give one tablet by mouth as needed for diarrhea, family provided medication and at the resident bedside, ordered 5/31/2025.- Probiotic oral tablet, give one tablet by mouth every 12 hours for supplement for 30 days, unsupervised self-administration, ordered 5/31/2025. During a review of Resident 1's MAR for probiotic oral tablet for the periods of 5/31/2025 to 6/30/2025, the MAR indicated the licensed nurses documented U-SA (Unsupervised-Self Administration) in the MAR.During a concurrent interview and record review on 7/17/2025 at 11:47 a.m., with Licensed Vocational Nurse 1 (LVN 1), reviewed Resident 1's physician orders for Imodium and probiotics and Resident 1's MAR for probiotic oral tablet from 5/31/2025 to 6/30/2025. LVN 1 stated that she was able to recall Resident 1 had a hard time with bowel movements and took medications for irritable bowel movements from the beginning of admission. When LVN 1 was asked what U-SA meant, which was documented for the probiotic oral tablet in Resident 1's MAR, LVN 1 stated that the physician order indicated for unsupervised self-administration for probiotics.During a concurrent interview and record review on 7/15/2025 at 1 p.m., with the Director of Nursing (DON), reviewed Resident 1's physician order for Imodium and probiotics and Resident 1's MAR for the periods of 5/31/2025 to 6/30/2025. The DON stated that former Registered Nurse 1 (RN 1), who no longer worked at the facility, marked ‘unsupervised' when they input the physician order for Resident 1's probiotics. When the DON was asked about the facility's protocol for resident self-administration of medications, the DON stated that the facility should assess 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 3 Event ID: 056337 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 056337 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Panorama Gardens Nursing and Rehabilitation Center 9541 Van Nuys Blvd. Panorama City, CA 91402 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)