Health inspection·April 28, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, facility staff failed to ensure one of four sampled residents (Resident 2) was monitored for verbal and physical aggression, as ordered by the physician. This deficient practice created the risk for Resident 2, who hit another resident in the face on 4/16/2025, to commit repeat physical aggression towards other facility residents with possible physical injury and psychosocial harm. Findings: During a review of Resident 1 ' s admission Record, the admission Record indicated Resident 1 was originally admitted to the facility on [DATE], and was most recently readmitted on [DATE]. Resident 1 ' s admitting diagnoses included schizophrenia (a mental illness that is characterized by disturbances in thought). During a review of Resident 1 ' s Minimum Data Set (MDS, a resident assessment tool), dated 3/9/2025, the MDS indicated Resident 1 did not have impaired cognition (difficulties with thinking, learning, remembering, and making decisions). The MDS indicated Resident 1 was independent with mobility while in and out of bed. During a review of Resident 2 ' s admission Record, the admission Record indicated Resident 2 was admitted to the facility on [DATE]. Resident 2 ' s admitting diagnoses included schizoaffective disorder (a mental illness that can affect thoughts, mood, and behavior). During a review of Resident 2 ' s MDS, dated [DATE], the MDS indicated Resident 2 occasionally exhibited hallucinations and delusions, and occasionally exhibited disorganized thinking (e.g., unclear or illogical flow of ideas). The MDS indicated Resident 2 had cognitive impairments. The MDS indicated Resident 2 was independent with mobility while both in and out bed and had no impairments to her upper or lower extremities. During a review of Resident 2 ' s Change of Condition (COC) assessment, dated 4/16/2025, the COC indicated that on 4/16/2025, Resident 2 hit Resident 1 without provocation. The COC further indicated Resident 2 verbalized a desire to hit someone again and was tearing her clothing. During a review of Resident 2 ' s physician order, dated 4/23/2025, the physician order indicated staff were to monitor Resident 2 for verbal and physical aggression and document the number of episodes. (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: 056417 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 056417 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/28/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE View Heights Conv Hosp 12619 S. Avalon Blvd Los Angeles, CA 90061 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)