ST. JOHN OF GOD RETIREMENT
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$124,440
Outcome
ST. JOHN OF GOD RETIREMENT in LOS ANGELES, CA was fined $124,440 by CMS across 3 separate penalties following 77 deficiency citations identified during federal surveys.
Details
ST. JOHN OF GOD RETIREMENT (LOS ANGELES, CA) — $124,440 in CMS Fines
Outcome: ST. JOHN OF GOD RETIREMENT in LOS ANGELES, CA was fined $124,440 by CMS across 3 separate penalties following 77 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure each resident receives an accurate assessment.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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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