Health inspection·June 25, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and interview, the facility failed to ensure one of three sampled residents (Resident 2) was treated with dignity and care in a manner that promotes maintenance or enhancement of their quality of life by failing to ensure Certified Nursing Assistant (CNA) 1 assisted Resident 2 with their meal was not standing over Resident 2. This deficient practice had the potential to negatively affect Resident 2 psychosocially (involving mental, emotional, social, and spiritual aspects of a person's life). Findings: During a review of Resident 2 ' s admission Record, the admission Record indicated the facility admitted Resident 2 on 6/29/2017 and readmitted on [DATE] with diagnoses including dementia (a progressive state of decline in mental abilities), anxiety disorder (a group of mental health conditions where feelings of worry, fear, apprehension, and nervousness are excessive, persistent, and interfere with daily life), and other lack of coordination. During a review of Resident 2 ' s Minimum Data Set (MDS – a resident assessment tool) dated 4/7/2025, the MDS indicated Resident 2 had the ability to sometimes understand and sometimes be understood. The MDS indicated Resident 2 was dependent (helper does all of the effort) with showering, required substantial assistance (helper does more than half the effort) with oral hygiene, toileting, putting on and taking off footwear and personal hygiene, required partial assistance (helper does less than half the effort) with upper and lower body dressing and required supervision assistance (helper provides verbal cues and or touching and or contact guard assistance) with eating. During a concurrent observation and interview on 6/25/2025 at 8:15 a.m. of Resident 2 with CNA 1, CNA 1 was observed standing with over Resident 2, no chair noted in the room. CNA 1 stated a chair was provided to assist a resident with meals but is not using one. CNA 1 stated does not sit while assisting Resident 2 with meal because Resident 2 will try to get up. CNA 1 stated should be sitting at eye level with Resident 2 when assisting with their meal. During an interview on 6/25/2025 at 3:15 p.m. with the Director of Nursing (DON), the DON stated staff assisting residents with their meal need to sit down and be at eye level. The DON stated if staff are not at eye level and the staff are standing over the resident while assisting with meals mean it is not respecting the resident ' s right to dignity. During a review of the facility ' s Policy and Procedures (P&P) titled, Assistance with Meals, last Page 1 of 2 555707 555707 06/25/2025 Imperial Care Center 11441 Ventura Blvd Studio City, CA 91604

F 0550 Level of Harm - Minimal harm or potential for actual harm reviewed on 1/2025, the P&P indicated residents shall receive assistance with meals in a manner that meets the individual needs of each resident. Residents who cannot feed themselves will be fed with attention to safety, comfort and dignity, for examples: a. Not standing over residents while assisting them with meals; Residents Affected - Few 555707 Page 2 of 2