Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at East Los Angeles Doctors Hosp during CMS and state inspections, most recent first.
The facility failed to provide daily RNA services as prescribed for five residents with severe cognitive impairments and dependency on staff for daily activities. Despite physician orders for daily treatments to maintain or improve range of motion, services were only provided five times a week. The DON confirmed the lack of weekend services, acknowledging the risk of contractures and other complications.
A resident with severe cognitive impairment was not informed about medications administered via gastrostomy tube, violating her rights. The LVN failed to explain the medications, which is against the facility's policy and standard procedure, as confirmed by staff interviews.
A resident with respiratory failure and moderate cognitive impairment was receiving outside food from family, but the care plan was not updated to reflect this change. The resident was on a mechanically altered diet with a gastronomy for nutrition, and the failure to revise the care plan increased the risk of aspiration. Facility staff acknowledged the need for care plan revision, but it was not completed, contrary to facility policy.
A resident with respiratory failure and moderate cognitive impairment was observed receiving an incorrect diet due to outdated physician orders. Despite the resident's need for a regular soft and bite-size diet, the orders still indicated enteral feeding. Registered nurses confirmed the orders should have been updated, as per facility policy, to prevent care delays.
A facility failed to complete a required phenobarbital level test for a resident with severe cognitive impairment and chronic respiratory failure. The resident had an active order for phenobarbital to prevent seizures, requiring monthly monitoring. The test for October was not completed, and there was no documentation of communication with the physician or follow-up on the missing test results, despite facility policies requiring ongoing drug therapy monitoring.
A facility failed to document a resident's intake of food brought from home, despite the resident's dietary restrictions due to respiratory failure and moderate cognitive impairment. The resident's family had been bringing food for several weeks without documentation in the medical records, posing a potential aspiration risk. Staff interviews revealed that the LVN was aware but did not document the food intake, and the RN confirmed the need for updated progress notes to educate the family and prevent choking.
The facility did not complete the Revised McGeer Criteria for Infection Surveillance Checklist for two residents receiving antibiotics, as required by their policies. The Infection Preventionist Nurse failed to validate the appropriateness of the antibiotics due to this oversight, and the Director of Pharmacy confirmed this as a standard practice. This deficiency could lead to inappropriate antibiotic use and the development of multi-drug resistant organisms.
Failure to Provide Daily RNA Services as Prescribed
Penalty
Summary
The facility failed to ensure that Restorative Nurse Assistant (RNA) services were performed daily for five residents, as required by their physician orders. These residents, identified as Resident 5, Resident 8, Resident 21, Resident 22, and Resident 23, were all dependent on staff for various activities of daily living and had severe cognitive impairments. The RNA services were intended to maintain or improve their range of motion and prevent contractures, but the services were only provided five times a week instead of daily, as prescribed. Resident 5 had chronic respiratory failure and was supposed to receive RNA services that included the application of bilateral hand rolls and knee splints daily. However, the treatment record showed that these services were only completed five times a week. Similarly, Resident 8 and Resident 21 were prescribed the application of bilateral PRAFOS and resting splints daily, but their records also indicated that these treatments were only performed five times a week. Resident 22 had no treatment record of RNA services, despite having a physician order for passive and active range of motion exercises daily. During an interview, the Director of Nursing (DON) confirmed that RNA services were not provided on weekends, which was contrary to the physician orders that specified daily services. The DON acknowledged the potential risks of not adhering to the prescribed RNA services, which could lead to conditions such as wrist or foot drop and further contractures. The facility's policy on the Restorative Nursing Program required that treatment programs be carried out according to the written plan of care and documented daily, which was not followed in these cases.
Failure to Explain Medications to Resident
Penalty
Summary
The facility's staff failed to uphold a resident's rights by not explaining medications administered to her. The resident, who was admitted with diagnoses including dysfunctional uterine bleeding, respiratory failure, and anoxic brain injury, was observed to be alert and awake during medication administration. However, the Licensed Vocational Nurse (LVN) did not explain the medications being given via gastrostomy tube, which is a violation of the resident's rights to be informed and to refuse treatment. Interviews with the facility's staff, including a Registered Nurse (RN) and the LVN involved, confirmed that the standard procedure is to introduce oneself and explain medications to residents. The RN emphasized the importance of this practice to maintain the resident's dignity and informed consent. The LVN admitted to missing this step during the medication pass, acknowledging that the resident was alert and had the right to refuse the medications. The facility's policies on resident education and rights also support the necessity of informing residents about their medications.
Failure to Revise Care Plan for Resident Receiving Outside Food
Penalty
Summary
The facility failed to revise the care plan for a resident who was receiving outside food, which had the potential to place the resident at risk for aspiration. The resident, who was admitted with a diagnosis of respiratory failure and had moderate cognitive impairment, was on a mechanically altered diet and had a gastronomy for nutrition. Despite this, the resident reported that their family had been bringing them food from home for several weeks. The care plan, dated 10/26/2024, did not reflect this change, and the approaches were to provide the diet as ordered. Interviews with facility staff, including a registered nurse and a licensed vocational nurse, confirmed that the care plan needed to be revised to account for the resident receiving food from home. The facility's policy and procedure indicated that care plans should be updated in response to changes in the resident's condition to ensure continuity of care and safety. However, the care plan for this resident was not updated, increasing the risk of aspiration due to the unaddressed change in dietary intake.
Failure to Update Physician Orders for Resident's Diet
Penalty
Summary
The facility failed to ensure that a resident's physician orders were updated to reflect the correct diet plan, which had the potential to cause a delay in care. The resident, who was admitted with a diagnosis of respiratory failure and had moderate cognitive impairment, was observed receiving a regular soft and bite-size diet with thin liquid, despite physician orders indicating enteral feeding via gastronomy. This discrepancy was identified during a review of the resident's records and through interviews with registered nurses. The registered nurses acknowledged that the physician orders should have been updated to reflect the resident's current diet of regular soft with small bite size. The facility's policy and procedure for order clarification and medication reconciliation were reviewed, highlighting the importance of accurate and complete reconciliation of orders to prevent errors. The failure to update the physician orders for the resident's diet was noted as a deficiency, with the potential to cause a delay in care.
Failure to Complete Required Phenobarbital Level Test
Penalty
Summary
The facility failed to ensure that a laboratory test for phenobarbital levels was completed for a resident in October 2024. This resident, who was admitted with chronic respiratory failure and required a tracheostomy and gastrostomy tube, had severe cognitive impairment and was dependent on staff for daily activities. The resident had an active physician order for phenobarbital to prevent seizures and required monthly monitoring of phenobarbital levels. However, the facility did not complete the required test for October, and there was no documentation of communication with the physician regarding the missing test results. During an interview and record review, the Director of Nursing confirmed that the phenobarbital level test for October was not available and had not been completed. The facility's policies and procedures for drug therapy monitoring and physician order implementation were reviewed, indicating that drug therapy should be monitored continuously to ensure safety and effectiveness. Despite these policies, there was no evidence of follow-up or documentation regarding the missing phenobarbital level test, which was crucial for managing the resident's seizure condition and preventing drug toxicity.
Failure to Document Resident's Outside Food Intake
Penalty
Summary
The facility failed to ensure accurate documentation for a resident who was receiving food from home, which was not in accordance with accepted professional standards. The resident, who had been diagnosed with respiratory failure and had moderate cognitive impairment, was on a mechanically altered diet and had a gastronomy for nutrition. Despite these dietary restrictions, the resident's family had been bringing food from home for several weeks, which was not documented in the resident's medical records. This lack of documentation posed a potential risk for aspiration, as the resident refused to eat the facility-provided meal during an observation. Interviews with facility staff revealed that the Licensed Vocational Nurse (LVN) was aware of the family bringing food but had not documented it in the progress notes. The Registered Nurse (RN) confirmed that the progress notes should have been updated to reflect the family's actions and to educate them about the resident's dietary needs to prevent choking. The facility's policy and procedure on charting required documentation to be completed for each shift and to include both normal and abnormal findings, which was not adhered to in this case.
Failure to Complete Infection Surveillance Checklist for Antibiotic Use
Penalty
Summary
The facility failed to complete the Revised McGeer Criteria for Infection Surveillance Checklist for two residents, which is necessary to determine if antibiotic use is appropriate. Resident 17, who was admitted with pneumonia and respiratory failure, had a physician's order for erythromycin ethyl succinate for high gastric residual. Resident 20, admitted with chronic respiratory failure and a tracheostomy, had orders for Zosyn and vancomycin to treat leukocytosis. Both residents were severely impaired cognitively and dependent on staff for personal hygiene. The Infection Preventionist Nurse (IPN) admitted to not completing the checklist within three days of the antibiotic order, which is part of her role in antibiotic stewardship. The Director of Pharmacy confirmed that completing the checklist is a standard practice for all licensed nurses. The facility's policies on infection prevention and antimicrobial stewardship emphasize the importance of surveillance and appropriate antibiotic use, but these were not followed, leading to the potential for inappropriate antibiotic use and the development of multi-drug resistant organisms.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 5,590 citations issued within 25 miles in the last 12 months — including the 30 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Los Angeles
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Costa Del Sol Healthcare | 0.1 mi | — | 5 | 0 |
| Los Angeles Comm Hospital | 0.7 mi | — | 15 | 1 |
| Infinity Care Of East Los Angeles | 2.1 mi | — | 10 | 0 |
| Hollenbeck Palms | 2.5 mi | — | 21 | 0 |
| Maywood Skilled Nursing & Wellness Centre | 2.7 mi | — | 25 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for East Los Angeles Doctors Hosp.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.