Lomita Post-Acute Care Center of Los Angeles County, California was issued a Class AA Citation by the California Department of Public Health (CDPH) on August 14, 2020 after a resident was killed due to sepsis resulting from negligent patient care at the facility.
The Care Center failed to follow its own policies and procedures to ensure that the resident, who had been admitted just 7 days prior, received the care she needed, which started with an accurate assessment of the resident’s change of condition, in combination with urinary catheter care, reporting to the physician the resident’s change of condition in a timely manner, and sending the resident to the hospital only after a family member insisted.
Interviews and Nurses Notes indicated that on several instances there was no documented confirmation that the Resident’s catheter was being examined per physician’s orders. Which likely contributed to the UTI that later caused Sepsis in the Resident.