Western Conv.Hospital

2190 W. Adams Blvd.
Los Angeles, CA 90018
Los Angeles County
Phone: 323-737-7778
Provider Number: 555069
Last Inspection: 04/04/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
129
Number of Residents
Number of
Residents
119
Number of Beds Available
Beds Available
10
Percent Occupancy
Percent Occupancy
92%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • CA
  • USA
  • 51
  • 38
  • 31
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2013
  • 2012
  • 51
  • 31
  • 52
Lower Numbers are Better

Details by Inspection Date

 

4/4/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 5/8/2015
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 5/8/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 5/8/2015
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 5/8/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 5/8/2015
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated : Minimal 3 5/8/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 5/8/2015
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 5/8/2015
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 5/8/2015
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 5/8/2015
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 5/8/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/8/2015
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread : Minimal 5 5/8/2015
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 5/8/2015
 

12/8/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents talk to and get information from agencies acting on their behalf. Isolated : Minimal 3 12/27/2013
Failed To: Provide resident groups or resident family groups with private space to meet. Pattern : Minimal 4 12/27/2013
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 12/27/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/27/2013
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 12/27/2013
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 12/27/2013
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 12/27/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/27/2013
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 12/27/2013
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 12/27/2013
 

8/25/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 9/21/2012
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 9/21/2012
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 9/21/2012
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 9/21/2012
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 9/21/2012
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 9/21/2012
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 9/21/2012
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/21/2012
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 9/21/2012
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 9/21/2012
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 9/21/2012
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 9/21/2012
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 9/21/2012
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 9/21/2012
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern : Minimal 4 9/21/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

1/27/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 2/12/2015
 

1/26/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 2/5/2015
 

4/22/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Permit residents to remain in the facility and not be transferred or discharged without adequate reason. Widespread : Minimal 5 5/23/2014
Failed To: Provide written records when a resident is transferred or discharged. Widespread : Minimal 5 5/23/2014
Failed To: Provide timely notification to the resident before transfer or discharge. Widespread : Minimal 5 5/23/2014
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 5/23/2014
Failed To: Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. Pattern : Minimal 4 5/23/2014
Failed To: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Widespread : Minimal 5 5/23/2014
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Widespread : Minimal 5 5/23/2014
 

1/7/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 1/20/2014
 

10/18/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Pattern : Potential 3 10/25/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg CA State Avg
Number of Residents 119 88.60 84.73
Registered Nurses 0.80 0.82 0.87
Licensed Practical / Vocational Nurses 1.68 1.09 0.98
Certified Nursing Assistants 2.29 2.67 2.61
Total Staff Hours 4.76 4.57 4.46

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% CA State Avg%
High Risk Long Stay Residents With Pressure Ulcers 14 6 6
Long Stay Residents Experiencing One or More Falls with Major Injury 2 1 1
Long Stay Residents Who Have Depressive Symptoms 0 0 1
Long Stay Residents Who Lose Too Much Weight 4 5 6
Long Stay Residents Who Received an Antipsychotic Medication 5 14 13
Long Stay Residents Who Self Report Moderate to Severe Pain 4 3 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 27 7 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 9 6 5
Long Stay Residents Who Were Physically Restrained 0 1 1
Long Stay Residents Whose Need for Help with ADLs has Increased 14 9 11
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 7 3 3
Long Stay Residents With a Urinary Tract Infection 5 3 3
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 58 43 44
Short Stay Residents Who Newly Received an Antipsychotic Medication 1 2 1
Short Stay Residents Who Self Report Moderate to Severe Pain 5 10 12
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 46 25 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 28 25 18
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 0 0