Inspection Reports for
Harrison Villa of Mt. San Antonio Gardens

The investigation was complaint-driven, focusing on issues related to Resident 15's delayed physician notification for change of condition, Resident 9's recurrent urinary tract infections due to inadequate perineal care, and Resident 8's side rail use and documentation inconsistencies. The deficiencies were substantiated with observations, interviews, and record reviews.

The facility failed to promptly notify the physician of a resident's change of condition, provide adequate perineal care to prevent urinary tract infections, and ensure safe and appropriate use and documentation of side rails for residents. These deficiencies had the potential to cause harm or physical decline to the affected residents.

The facility was found deficient in accurately assessing elopement risk for a resident, providing appropriate treatment and care for skin conditions, following safe food storage practices, and implementing infection prevention and control measures related to laundry handling.

The facility was found deficient in multiple areas including resident dignity and privacy, accommodation of resident needs, pressure ulcer prevention, maintenance of range of motion and mobility, respiratory care, medication administration timeliness, meal portioning, and infection prevention and control practices.