Health inspection·January 14, 2026

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few to a nurse who proposed to him. The note indicated the SW asked Resident 1 if it could be a joke and Resident 1 told the SW it was serious. The note indicated that the conversation was reported to the ADM and Elder Abuse Coordinator and it was advised that no reporting to CDPH was necessary.During a review of Resident 1's record titled, Clinical Note Entry, Social Services, dated 12/23/25, the record indicated that the SW spoke to both CNA 1 and Resident 1 about their relationship and CNA 1 expressed to Resident 1, in the presence of the SW, that she was not interested in engaging in a romantic relationship with Resident 1. During an interview on 1/14/26 at 12:13 pm with the Social Worker (SW), the SW stated that the relationship between CNA 1 and Resident 1 was getting weird and that CNA 1 had given Resident 1 her personal phone number and was sending pictures of herself to Resident 1. The SW stated that sending pictures to the residents was not appropriate and against the facility's policy. The SW stated that Resident 1 was oriented to person, place, and time but that Resident 1 was not great at knowing the situation, as Resident 1 wanted to move into CNA 1's house. During an interview on 1/14/26 at 2:46 pm with the Director of Nursing (DON), the DON stated that Resident 1 gave CNA 1 fifty dollars. The DON stated she was unsure of what their policy states on receiving monetary gifts from the residents.During an interview on 01/14/26 at 3:12 pm with the Administrator (ADM), The ADM stated that all staff cannot receive gifts as individuals.During an interview on 01/27/26 at 9:32 am with the DON, the DON stated that Resident 1 had given the fifty dollars to CNA 1 on 11/27/25.During a review of the facility's policy and procedures (P&P) titled Professional Boundaries and Ethics, dated 11/13/2019, the P&P indicated, Employees are required to maintain professional relationships with Residents . Employees will set and maintain boundaries with Residents . An employee will not receive or accept, directly or indirectly, any gift including, but not limited to, money, meals . any services, or anything of value from Residents . An employee will not engage in any activity that could be, or may give a perception of, overfamiliarity . Employees will not discuss their personal affairs or share personal information (e.g. personal problems, work related conflicts, telephone numbers, email address, etc.) with Residents . Employees are prohibited from and expected to recognize that engaging in a sexual, romantic, and/or emotional relationship with a Resident, even a consensual relationship, is not consistent with the employee's duties and obligations . Violations of this policy may result in disciplinary action up to and including dismissal.During a review of the facility's policy and procedures (P&P) titled, Elder Abuse Prevention and Response, dated 6/17/2017, the P&P indicated . Financial abuse occurs when a person or entity does any of the following . Takes, conceals, appropriates, obtains, or retains, or assists in taking, concealing, appropriating, obtaining, or retaining, real or personal property of an elder or dependent adult by undue influence . No Resident will be subjected to mental, physical, financial sexual, or verbal abuse, neglect, corporal punishment, involuntary isolation/seclusion, or misappropriation of property . Employees will be trained through new employee orientation, annually, and as needed thereafter on issues related to abuse prohibition practices.2. During a review of Resident 2's Face Sheet (Demographics), the Face Sheet indicated that Resident 2 was admitted on [DATE] with diagnoses of Diabetes Mellitus (High blood sugar) with other specified complication and mild cognitive impairment (problems with thinking, learning, memory, judgement, or concentration, affecting daily function).During an observation on 1/14/26 at 10:08 am of Resident 2's room. Resident 2's room appeared clean and without clutter or tripping hazards. Resident 2 was not in his room and was at an appointment outside of the facility and unavailable for interview. During an interview on 1/14/26 at 10:51 am with Certified Nurse Assistant (CNA) 2, CNA 2 stated she had been employed with the facility since 11/3/25. CNA 2 indicated that she received abuse training at this facility upon hire, utilizing the Relias computer training program. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555917 If continuation sheet Page 2 of 3 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 555917 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Veterans Home of California - West Los Angeles 11500 Nimitz Avenue Los Angeles, CA 90049 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)

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete CNA 2 first met Resident 2 around ten years ago and she invited him to dinner at her house, which he attended. CNA 2 stated that on 1/9/26, Resident 2 bought her a burger and fries which she accepted. CNA 2 stated she was unaware that she could not accept the burger and fries. CNA 2 stated she was removed from providing care on 1/9/26 and that the DON told her it was against facility policy to date or have a romantic relationship with a resident.During a review of Resident 2's record titled, Clinical Note Entry, Social Services, dated 1/9/26, the record indicated the SW approached Resident 2 to clarify his relationship with [CNA 2] and Resident 2 stated that they were friends. The note indicated that Resident 2 admitted to buying [CNA 2] a twenty dollar lunch. During an interview on 1/14/26 at 12:24 pm with the Social Worker (SW), The SW stated that Resident 2's daughter reported that she talked with Resident 2 about the CNA speaking to him on his personal cell phone and Resident 2 stated CNA 2 was talking a lot about money. The SW stated that Resident 2 subsequently changed his cell phone number. The SW stated that staff should neither give nor ask for money from residents and that personal cell phone interactions with residents are against facility policy. During an interview on 1/14/26 at 2:46 pm, the Director of Nursing (DON) stated that CNA 2 denied any prior personal relationship with Resident 2. The DON mentioned a gift from Resident 2 to CNA 2 that appeared to involve $20, either in cash or food. The DON stated she was unsure of what their policy states on receiving gifts from the residents. During an interview on 1/14/26 at 3:12 pm with the Administrator (ADM), the ADM stated that all staff cannot receive gifts from residents as individuals. During an interview on 1/27/26 at 9:30 am with the DON, the DON stated that she had a conversation with a supervisor and was told Resident 2 was romantically involved with CNA 2. During a review of the facility's policy and procedures (P&P) titled Professional Boundaries and Ethics, dated 11/13/2019, the P&P indicated, Employees are required to maintain professional relationships with Residents . Employees will set and maintain boundaries with Residents . An employee will not receive or accept, directly or indirectly, any gift including, but not limited to, money, meals . any services, or anything of value from Residents . An employee will not engage in any activity that could be, or may give a perception of, overfamiliarity . Employees will not discuss their personal affairs or share personal information (e.g. personal problems, work related conflicts, telephone numbers, email address, etc.) with Residents . Employees are prohibited from and expected to recognize that engaging in a sexual, romantic, and/or emotional relationship with a Resident, even a consensual relationship, is not consistent with the employee's duties and obligations . Violations of this policy may result in disciplinary action up to and including dismissal.During a review of the facility's policy and procedures (P&P) titled, Elder Abuse Prevention and Response, dated 6/17/2017, the P&P indicated . Financial abuse occurs when a person or entity does any of the following . Takes, conceals, appropriates, obtains, or retains, or assists in taking, concealing, appropriating, obtaining, or retaining, real or personal property of an elder or dependent adult by undue influence . No Resident will be subjected to mental, physical, financial sexual, or verbal abuse, neglect, corporal punishment, involuntary isolation/seclusion, or misappropriation of property . Employees will be trained through new employee orientation, annually, and as needed thereafter on issues related to abuse prohibition practices. Event ID: Facility ID: 555917 If continuation sheet Page 3 of 3