Inspection Reports for Corona Health Care Center

The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements for the facility.

The facility was generally compliant with licensing requirements, with pathways clear, equipment and furnishings in working order, and proper storage of medications and supplies. One deficiency was cited related to facility staff writing the start date of medications on prescription labels, which posed a potential health and safety risk.

An unannounced complaint investigation visit was conducted to investigate the allegation that staff were not providing adequate care and supervision of a resident.

The investigation included staff and resident interviews and record review. All interviewed staff and residents stated that adequate care and supervision were provided. The allegation was deemed unsubstantiated and no deficiencies were cited.

The complaint alleged inadequate care and supervision by staff. The allegation was found to be unsubstantiated based on the investigation.

The inspection was conducted as an unannounced complaint investigation following allegations of staff neglect resulting in a resident hospitalization and staff over medicating a resident.

The investigation found insufficient evidence to substantiate the allegations. Staff neglect causing hospitalization and over medication claims were unsubstantiated based on interviews, medical record reviews, and medication administration records.

The complaint investigation was unsubstantiated. Allegations included staff neglect resulting in hospitalization and staff over medicating a resident. Interviews with residents and staff, as well as medical record reviews, did not support the allegations.

The inspection visit was conducted to initiate a case management deficiency investigation regarding discrepancies in the reporting and delayed medical attention following a fall incident involving Resident #1.

The investigation found discrepancies in the dates of Resident #1's fall and a delay in seeking medical attention after the fall, which posed an immediate health, safety, and personal rights risk to the resident. A Type A deficiency was issued for failure to ensure immediate medical attention.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-02-13 regarding staff not reappraising a resident as necessary and insufficient staffing to meet resident needs.

The investigation found that Resident #1 sustained an ankle fracture and subsequent fall, but there was insufficient evidence to substantiate that staff neglect caused the resident's death. The allegations that staff did not reappraise the resident as necessary and that the facility lacked sufficient staff were both unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was triggered by allegations that staff did not reappraise a resident as necessary and that the facility did not have enough staff to meet resident needs. The investigation included file reviews and interviews and concluded the allegations were unsubstantiated due to insufficient evidence to prove violations.

An unannounced complaint investigation visit was conducted in response to an allegation that staff did not ensure that a resident received medical and dental services.

The investigation found that a resident (R1) had not received dental care since moving into the facility in 2017 due to lack of assistance and a plan to encourage routine dental care. The allegation was substantiated based on interviews, record reviews, and evidence that R1's mental health condition impaired self-advocacy and the facility failed to provide adequate support for dental care.

The complaint was substantiated. The allegation that staff did not ensure a resident received medical and dental services was validated by evidence including interviews with the resident, public guardian, staff, and record reviews.

The inspection was an unannounced required comprehensive annual inspection conducted to evaluate the facility's compliance with regulations.

The facility was found to have multiple deficiencies including lack of physician orders for half bed rails for two residents, expired food handler certifications for two kitchen staff, incomplete resident medical and care plans, and failure to assist residents with medications as required. A civil penalty was issued for repeated violations within 12 months.

An unannounced visit was conducted to investigate a complaint alleging staff financial abuse of residents in care.

The investigation found the allegation of financial abuse to be unsubstantiated after interviews with residents and review of evidence. No deficiencies were cited during the visit.

The complaint alleged staff were financially abusing residents. Interviews with 5 residents, including Resident #1, denied any financial abuse or staff managing their finances. The allegation was found unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted on 09/22/2024 following a complaint received on 11/22/2023 alleging hazards on facility grounds, inadequate supervision resulting in injury, untimely assistance to residents, and medication administration issues.

The investigation found the first three allegations regarding hazards on facility grounds, supervision, and timely assistance to be unsubstantiated based on interviews and observations. However, the allegation that staff did not ensure residents were administered medications as prescribed was substantiated, with evidence of multiple missed medications and incomplete medication records for Resident #1.

The complaint investigation was triggered by allegations that the licensee did not ensure facility grounds were free from hazards, staff did not adequately supervise residents resulting in injury, staff did not provide timely assistance, and staff did not ensure residents were administered medications as prescribed. The first three allegations were unsubstantiated, while the medication administration allegation was substantiated.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 02/23/2021 regarding a resident fall due to hallway obstructions, inappropriate meal assistance, and staff using inappropriate language with residents.

The investigation included interviews with staff and residents and review of documents. The allegations were found to be unsubstantiated due to insufficient preponderance of evidence to prove the violations occurred. The facility had taken steps such as in-service training and communication improvements related to meal service.

The complaint alleged that a resident sustained a fall due to obstructions in the hallway, staff did not appropriately assist residents with meals, and staff used inappropriate language with residents. The investigation found no substantiation for these allegations.

The inspection was an unannounced visit to investigate a complaint alleging that staff spoke to residents in an inappropriate manner.

The investigation found that residents denied any inappropriate manner of staff communication, and staff also denied yelling at residents. The allegation was deemed unsubstantiated, and no deficiencies were cited.

The complaint alleged that staff spoke to residents in an inappropriate manner. After interviews with residents and staff, the allegation was found unsubstantiated due to lack of evidence.

The visit was an unannounced follow-up case management inspection to review a self-reported incident regarding Resident R1 that occurred on 12/29/2023.

The investigation found that Resident R1 was not given their medication from 12/28/2023 around 1 PM to 12/29/2023 around 2 PM despite thirteen attempts by staff to contact R1. The facility failed to ensure R1 was assisted with medication during this time, resulting in one deficiency cited under Title 22, Division 6 of the California Code of Regulations.

The visit was conducted as an unannounced case management follow-up on a self-reported incident involving Resident R1 that occurred on 2023-12-29.

During the visit, staff were interviewed and documents related to the incident were reviewed. No deficiencies or citations were issued.

The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE).

The facility was found to be operating within approved capacity and in safe, clean, and good repair conditions. No deficiencies were cited during the inspection, and all regulatory requirements including physical plant, food service, care and supervision, and record reviews were satisfactorily met.

This was an unannounced complaint investigation visit triggered by a complaint alleging that a resident's restroom does not accommodate wheelchair access.

The investigation substantiated the complaint that Resident R1's bedroom bathroom door was too small to allow access, preventing R1 from using the bathroom in their bedroom. The facility failed to provide a bedroom with adequate bathroom access, instead providing a portable commode outside the bathroom door, which did not meet R1's basic bathroom needs. One deficiency was cited related to insufficient accommodations for the resident's bathroom needs.

The complaint was substantiated based on evidence gathered during the investigation. The allegation that the resident's restroom does not accommodate wheelchair access was found valid.

An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2023-03-27 regarding staff safeguarding residents' personal items, funds, medication management, dignity and respect, facility conditions, illegal eviction, and retaliation against residents for complaining.

The investigation included a facility tour, document review, and interviews with staff and residents. All allegations were found to be unsubstantiated due to insufficient evidence. Residents and staff denied the allegations, and no deficiencies were cited during the visit.

The complaint investigation was unsubstantiated. Allegations included staff not safeguarding residents' personal items and funds, mismanaging medication, disrespecting residents, improper facility conditions, illegal eviction, and retaliation. Interviews and document reviews did not support these claims.

An unannounced complaint investigation was conducted in response to allegations that staff failed to supervise residents, did not safeguard residents' personal property, and did not treat residents with dignity or respect.

The investigation found that the allegations were unsubstantiated. Interviews with residents and staff revealed disputes between two residents but no evidence of staff neglect or mistreatment. No deficiencies were cited during the visit.

The complaint involved allegations of staff failing to supervise residents, not safeguarding personal property, and not treating residents with dignity or respect. The investigation found no preponderance of evidence to substantiate these allegations.

This unannounced visit was conducted to investigate a complaint received on 2021-05-06 alleging that staff did not treat a resident with dignity and respect and that staff stole the resident's personal items.

The investigation included resident and staff interviews and found that the resident manages their own medical and medication needs with a personal lock on their door. Residents and staff denied observing or knowing about staff stealing or treating residents without dignity. The complaint allegations were found to be unsubstantiated due to lack of preponderance of evidence.

Complaint allegations were unsubstantiated. Evidence did not support or refute the allegations of staff stealing or treating residents without dignity.

The inspection was an unannounced complaint investigation visit conducted to investigate an allegation that staff handled a resident in a rough manner.

The investigation included interviews with residents and staff and found no evidence to support the allegation. The complaint was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff member S1 scratched the bottom of resident C1 during personal care. Five residents and four staff interviewed denied any rough handling. The complaint was found unsubstantiated.

An unannounced complaint investigation visit was conducted in response to allegations received on 2023-01-30 regarding staff treatment of residents, expired food, special diet adherence, and neglect of resident care needs.

The investigation found no evidence to substantiate any of the four allegations. The staff were found to treat residents with dignity and respect, no expired food was observed, special diet requirements were appropriately managed, and resident care needs were met. No deficiencies were cited during the visit.

The complaint investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred.

The visit was an unannounced complaint investigation triggered by an allegation that staff assaulted a resident in care during a facility party.

The investigation found no evidence to substantiate the allegation of staff assaulting a resident. No deficiencies were cited during the visit.

The complaint alleged that a staff member assaulted a resident during a facility party. The allegation was deemed unsubstantiated due to lack of evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not seek medical attention for a resident, did not meet residents' medical needs, did not provide toiletries, and did not ensure residents were fed.

The investigation included interviews with residents, staff, and an outside party, and a review of documents. The findings were unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred. Residents reported that medical appointments were not denied but sometimes rescheduled due to transportation availability, hygiene items were provided, and three meals plus snacks were served daily.

The complaint investigation was unsubstantiated. Allegations included failure to seek medical attention, unmet medical needs, lack of toiletries, and failure to feed residents. Interviews and document reviews did not support these allegations.

An unannounced visit was conducted to investigate a complaint alleging inadequate supervision and staff scolding of a resident.

The investigation found that the resident involved was no longer under the facility's care at the time of the alleged incidents, and therefore the allegations were deemed unfounded. No deficiencies were cited during the visit.

The complaint alleged that staff did not provide adequate supervision to a resident and that staff scolded a resident while in care. The allegations were investigated and found to be unfounded.

The visit was conducted as a required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.

The facility was found to have adequate infection control measures, including sufficient PPE supplies and hand hygiene provisions. No deficiencies were cited during the inspection.

An unannounced visit was conducted to investigate complaint control #56-AS-20220809145821 regarding potential safety issues at the facility.

The inspection found that cleaning supplies were accessible to residents in care due to an unlocked shower room and an unlocked cabinet, posing an immediate health and safety risk.

The visit was complaint-related, investigating complaint control #56-AS-20220809145821. The deficiency was substantiated as the cleaning supplies were accessible to residents, posing immediate health and safety risks.

An unannounced complaint investigation was conducted in response to a complaint received on 07/13/2022 regarding inadequate room temperatures due to air conditioning issues.

The investigation found that the air conditioning was working but set too low, causing some residents to feel cold and request extra blankets or portable fans. Multiple thermostats were observed set between 73 and 76 degrees Fahrenheit, which is below the required comfortable temperature range.

The complaint alleging inadequate room temperatures due to air conditioning was substantiated based on interviews and observations.

An unannounced visit was conducted to investigate a complaint alleging the facility had bed bugs.

The investigation included a tour of the facility, interviews with staff and residents, and review of documents. No bed bugs were observed during the tour or reported by staff or residents. The allegation was determined to be unsubstantiated due to lack of evidence.

The complaint alleged the presence of bed bugs in the facility. The investigation found no evidence to substantiate this allegation.

An unannounced case management visit was conducted in conjunction with complaint control number 18-AS-20210903094757 to evaluate the facility's compliance and address the complaint.

No deficiencies were cited during this visit. The Licensing Program Analyst interviewed residents, care staff, and kitchen staff, and discussed the visit with the assistant administrator.

Visit was conducted in conjunction with complaint control number 18-AS-20210903094757. No deficiencies were cited, indicating no substantiated issues during this investigation.

An unannounced complaint investigation visit was conducted following a complaint received on 2021-09-03 regarding allegations that staff refused to help a resident seek medical help and that a resident's hygiene needs were not being met.

The investigation included interviews with staff and relevant parties. Staff stated they made all necessary post-surgery appointments and followed discharge instructions, including hygiene care. The resident stated appointments were not timely and hygiene orders were not followed immediately. Documentation showed daily sponge baths were provided per doctor's orders. There was insufficient evidence to substantiate the allegations, so they were deemed unsubstantiated.

The complaint investigation was unsubstantiated based on interviews and documentation; there was no preponderance of evidence to prove the alleged violations occurred.

An unannounced complaint investigation visit was conducted in response to an allegation that a resident was being overmedicated while in care.

The investigation found that all residents, including the named resident, were given medication according to the physician's orders. Although the allegation may have some validity, there was insufficient evidence to prove a violation, and the complaint was unsubstantiated.

The complaint alleged that a resident was being overmedicated. The investigation included interviews with staff and relevant parties. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

An unannounced complaint investigation was conducted in response to an allegation that staff threatened a resident.

The investigation included interviews with staff, residents, and the complainant. Staff denied threatening residents, and other residents reported no threats. The complainant felt staff made threats and used a condescending tone. There was insufficient evidence to substantiate the allegation, so it was deemed unsubstantiated.

The complaint alleged that staff threatened a resident. The investigation found no preponderance of evidence to prove or disprove the allegation, resulting in an unsubstantiated finding.

The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.

The inspection found that the facility had sufficient infection control measures in place, including adequate PPE supplies, hand hygiene, cleaning provisions, and trained staff. No deficiencies were cited during the inspection.

The inspection was an unannounced visit to investigate a complaint alleging that staff were administering unauthorized medications to a resident.

The complaint allegation was found to be unsubstantiated after interviews with residents and staff, and review of records. There was no preponderance of evidence to prove the alleged violation occurred.

The complaint alleged that on 6/1/2021 a staff member put something green in the eggs of a resident. Interviews with eight residents and three staff members did not support the allegation. The complaint was determined to be unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations including inadequate staffing, poor food quality, improper incontinence care, presence of roaches, improper trash disposal, lack of enforcement of community rules, and facility cleanliness.

The investigation found no substantiated evidence supporting the allegations. Observations and interviews indicated that residents' incontinent care needs were met, food was properly stored and not expired, the facility was clean and free of vermin, trash was properly disposed of, and community rules were enforced with appropriate measures.

The complaint investigation was unsubstantiated. Despite multiple allegations, there was no preponderance of evidence to prove violations occurred. The report notes that some allegations may have happened or be valid, but were not substantiated by the investigation.