Park Senior Villas at la Canada - Villa L.

“Based on record review, and interview, the health care institution failed to ensure the health care institution administered a training program for all staff regarding fall prevention and fall recovery that included initial training and continued competency training for one of two personnel records reviewed.  Findings Include: 1. A review of E5's personnel file did not include documentation of continued competency training covering fall prevention and fall recovery in 2024. 2. In an exit interview, the findings were reviewed with E1. E1 acknowledged the facility failed to provide continued competency training on fall prevention and fall recovery despite having a training program available.”

“A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident's representative;”

“Based on record review and interview, the manager failed to ensure a resident's written service plan was reviewed by the resident or resident's representative, for one of two resident records reviewed. Findings include: 1. A review of R2's medical record revealed a "14-day" service plan dated October 7, 2024, for directed care services. However, the service plan was not reviewed by R2's representative. 2. A review of R2's medical record revealed a "90 day" service plan dated December 20, 2024, for directed care services. However, the service plan was also not reviewed by R2's representative. 3. In an interview, E1 acknowledged the service plans provided for R2 did not include a review by R2's representative when the plans were developed or updated.”