Brier Oak on Sunset
CMS
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Wound Care
Penalty
$94,221
Outcome
Brier Oak on Sunset in LOS ANGELES, CA was fined $94,221 by CMS across 3 separate penalties following 101 deficiency citations identified during federal surveys.
Details
Brier Oak on Sunset (LOS ANGELES, CA) — $94,221 in CMS Fines
Outcome: Brier Oak on Sunset in LOS ANGELES, CA was fined $94,221 by CMS across 3 separate penalties following 101 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Ensure that residents are free from significant medication errors.
- Provide activities to meet all resident's needs.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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