EMBER HEALTH CARE - MONTE VISTA
5125 MONTE VISTA ST., LOS ANGELES, CA 90042
Citation Number: 970004424
Citation Date: 1/31/2008
Violation Date: 9/17/2007
On 9/17/07, a 60 year old male resident sustained secondary and third degree burns on 40% of his body when his clothes caught fire while he was smoking a cigarette unsupervised. He was transferred to a burn center where he died 19 days later as a result of the burns. He suffered dementia and was not supposed to smoke unsupervised. The facility failed to accurately and periodically assess the resident's ability to smoke safely and independently based on his cognitive status and diagnosis.