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Inspection visit

Health inspection

Laurel Convalescent HospitalCMS #0564291 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

056429 05/23/2024 Laurel Convalescent Hospital 7509 N. Laurel Ave Fontana, CA 92336
F 0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure one of four clinically compromised residents (Resident 1) was provided transportation for his dialysis treatment appointment. Residents Affected - Few This failure had the potential to result in a delay of treatment that could adversely affect and further compromise Resident 1 ' s health. Findings: During a review of Resident 1 ' s admission RECORD (general demographics) on May 23, 2024, the document indicated Resident 1 was originally admitted to the facility on [DATE], with diagnoses that include diabetes mellitus (a condition that affects the way the body process blood sugar), end stage renal dialysis (a condition that cause the kidney to cease working), hypertension (a condition with blood pressure that is higher than normal), congestive heart failure (a condition that occurs when the heart muscle does not pump blood as well as it should) and hyperparathyroidism (a condition where the thyroid does not create and release enough thyroid hormone into the bloodstream). A review on May 23, 2024, at 2:40 PM, of Resident 1 ' s document, titled, PHYSICIAN HISTORY & PHYSICAL dated, 05/10/2024, indicated, . PAST MEDICAL HISTORY . History This is an [AGE] year-old male past medical history significant for end-stage renal disease on HD [(Hemodialysis) a way to clean the blood if the kidneys are no longer working properly] . During a review of the Physician Orders on May 23, 2023, the order dated May 10, 2024, indicated, DIALYSIS CENTER: DAVITA [NAME] RANCH ADDESS & CONTACT INFOR: 7223 CHURCH ST. UNIT A14 [NAME], CA 92346 (909) [PHONE NUMBER] DIALYSIS DAYS: T, TH, S (Tuesdays, Thursdays, Saturday) NEPHROLOGIST: DR. [NAME] TRANSPORTATION AND CONTACT INFO: [SPECIFY] SPECIAL INSTRUCTIONS: TIME 12:15 PM. A review on May 23, 2024, at 2:40 pm, of Resident 1 ' s COC (Change of Condition)/INTERACT ASSESSMENT FORM (SBAR) (Situation Background Assessment Recommendation) v1.4 dated, May 9, 2024, indicated, 7:00 AM . Res (Resident) noted in bed ready for dialysis, with paperwork and sacks lunch. 12.00 PM CNA (Certified Nursing Assistant) notified charge nurse of transportation not arriving. Chains of command followed. Transportation was called. Transportation claims to not have known about routine scheduled pick up for resident. MD (Medical Director) notified, family aware. 1300 PM we were able to get in touch with dialysis center to reschedule extra chair time for resident for following day (5/10/24 @ (at) 7:15 AM. Transportation notified. MD notified, family made aware. Orders to monitor res for fluid overload r/t (related to) missed dialysis . Page 1 of 2 056429 056429 05/23/2024 Laurel Convalescent Hospital 7509 N. Laurel Ave Fontana, CA 92336
F 0745 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few During an interview May 23, 2024, at 4:25 PM, with the Director of Nursing (DON), the DON was asked about the missed dialysis treatment on May 9, 2024, for Resident 1. The DON stated, The resident should not have missed his dialysis treatment. She further stated, The staff should have called and notified the transportation services for pick up for dialysis, upon his return from the hospital. During a concurrent interview and review on May 23, 2024, at 4:25 PM, with the Administrator (Admin) the facility ' s policy and procedure (P&P), titled, Transportation, Social Services, dated, December 2008, was reviewed. The P&P indicated, Our facility shall help arrange transportation for residents as needed . 2). Social services will help the resident as needed to obtain transportation . The Admin stated, The staff did not follow the facility policy. The resident should not have missed his dialysis treatment on May 9, 2024. The Admin further stated, The staff should have called for transportation for dialysis treatment for the resident when he returned from the hospital. 056429 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0745GeneralS&S Dpotential for harm

    F745 - The facility must provide medically-related social services to attain or

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

FAQ · About this visit

Common questions about this visit

What happened during the May 23, 2024 survey of Laurel Convalescent Hospital?

This was a inspection survey of Laurel Convalescent Hospital on May 23, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Laurel Convalescent Hospital on May 23, 2024?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Provide medically-related social services to help each resident achieve the highest possible quality of life."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.