Studio City Rehabilitation Center
11429 Ventura Blvd. Studio City, CA 91604
Citation Number: 920012307
Citation Date: 2/8/2017
Violation Date: 10/22/09
Class: AA
Penalty: $100,000

On 10/22/09, a resident was hospitalized in severe pain with acute peritonitus from a severe bowel impaction. She was moaning in pain, had a distended abdomen, and altered level of consciousness. Her survival rate was deemed to be zero. She was diagnosed with a perforated viscus and sepsis. The resident died in the hospital two days after her emergency room admission. In the weeks prior to her death, the resident was at increased risk of constipation because she was often bed-bound, was taking several medications that could cause constipation, ate poorly and received insufficient fluids. The facility did not give her ordered medication, Milk of magnesia, to prevent constipation. Its plan of care did not adequately address the resident's past history of rectal bleeding, constipation and colon surgery. On the morning of her hospitalization, the resident was disoriented – yelling and screaming – yet there was no evidence that the facility assessed her abdomen or appropriately responded to her suffering. The nursing home was cited for neglecting to monitor, assess, and respond to changes in her bowel movement habits to prevent constipation before it progressed to fecal impaction and death.