Inspection Reports for Newport Nursing and Rehabilitation Center
1555 Superior Ave, Newport Beach, CA 92663, United States, CA, 92663
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with several complaint investigations determined to be unsubstantiated. The facility’s most recent report from May 28, 2025, was a complaint investigation that found all allegations unsubstantiated. Earlier reports showed isolated deficiencies, including one in January 2025 related to improper medication storage and another in March 2023 for a confidentiality breach in resident records. A more serious deficiency occurred in June 2021 when the facility failed to provide timely medical attention to a resident who later passed away. Since then, the facility appears to have improved, with no deficiencies noted in the most recent inspections.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 115
Capacity: 160
Deficiencies: 0
May 28, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2025-02-24 regarding five allegations about resident care and facility practices.
Findings
The investigation found all five allegations unsubstantiated after reviewing resident assessments, staff interviews, and facility tours. Evidence did not support claims of failure to reappraise residents, inadequate notice to authorized persons, resident isolation, inadequate care to prevent falls, or inappropriate resident acceptance.
Complaint Details
The complaint involved allegations that staff did not reappraise a resident when his condition changed, failed to provide sufficient notice before changing services, kept a resident isolated, did not provide adequate care to prevent falls, and accepted a resident requiring a higher level of care. The investigation concluded all allegations were unsubstantiated.
Report Facts
Capacity: 160
Census: 115
Number of allegations: 5
Date complaint received: Feb 24, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Facility administrator present and assisted with the visit |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 111
Capacity: 160
Deficiencies: 1
Jan 13, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The facility generally met regulatory requirements including staff background checks, training, and physical plant safety. One Type B deficiency was cited related to improper storage of prescription ointments and over-the-counter supplements in a resident's bathroom despite the resident being under medication management.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Prescription ointments and over-the-counter supplements were observed in the bathroom of a resident assessed to be unable to manage their self-administered medication, posing a potential health and safety risk. | Type B |
Report Facts
Residents receiving hospice care: 5
Residents in Memory Care unit: 14
Resident rooms: 112
Memory Care rooms: 12
Hot water measurement locations: 12
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Notified of the visit and mentioned in the report |
| Karla Arteaga | Community Business Director | Assisted Licensing Program Analysts during the visit |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection and signed the report |
| Hanna Gough | Licensing Program Analyst | Conducted the inspection |
| Sheila Santos | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 107
Capacity: 160
Deficiencies: 0
Apr 24, 2024
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection of the facility.
Findings
The inspection found no deficiencies. The facility was observed to be clean, well-maintained, and compliant with all regulations including fire safety, resident room furnishings, and staff training documentation.
Report Facts
Resident rooms inspected in assisted living: 7
Staff files reviewed: 10
Care staff files reviewed: 7
Resident files reviewed: 10
Hospice waiver approved residents: 25
Memory care rooms: 12
Resident rooms in facility: 112
Fire drill date: Apr 19, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection visit |
| Sheila Santos | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 160
Deficiencies: 0
Apr 28, 2023
Visit Reason
The visit was an unannounced case management follow-up on an incident report submitted on 04/25/2023 regarding allegations of a former employee having sexual relations with female residents.
Findings
Interviews with the reporting resident, six additional residents, and three staff members were unable to corroborate the incident. No citations were noted during the visit.
Complaint Details
The complaint involved allegations that a former employee was having sexual relations with female residents. The employee had resigned on 02/09/2023. Interviews and evidence reviewed did not substantiate the complaint.
Report Facts
Residents interviewed: 7
Staff interviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during the visit and provided information about the incident |
| Claudia Gutierrez | Licensing Program Analyst | Conducted the unannounced case management visit and interviews |
| Armando J Lucero | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 160
Deficiencies: 1
Mar 2, 2023
Visit Reason
Unannounced complaint investigation visit conducted to investigate multiple allegations including medication mismanagement, failure to give 30 day notice, inadequate hydration, unsafe bathroom environment, and lack of supplies.
Findings
The investigation found one substantiated deficiency related to inaccurate resident records being shared, posing a risk to confidentiality. All other allegations including medication mismanagement, failure to give notice, hydration, bathroom safety, and supplies were found to be unfounded or unsubstantiated.
Complaint Details
The complaint investigation was triggered by multiple allegations received on 10/06/2022 regarding medication mismanagement, failure to give 30 day notice, inadequate hydration, unsafe bathroom environment, lack of supplies, and inaccurate record keeping. The allegation of inaccurate record keeping was substantiated, while others were found to be unsubstantiated or unfounded.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee failed to maintain confidentiality of resident records by erroneously including unrelated documents pertaining to other residents. | Type B |
Report Facts
Facility capacity: 160
Visit time: 2
Plan of Correction due date: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Johanna Gonzalez | Administrator | Facility administrator met during the investigation and named in the report |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Follow-Up
Capacity: 160
Deficiencies: 0
Feb 17, 2023
Visit Reason
The visit was an unannounced case management follow-up to deliver findings on an investigation completed by the Department regarding a resident's death.
Findings
The investigation revealed that Resident 1, who was independent except for medication management, was found deceased due to asphyxiation with a plastic bag over the head. The investigation found no evidence of lack of care or supervision contributing to the death, and the allegation was determined to be unsubstantiated.
Complaint Details
The visit was related to a complaint investigation concerning the death of Resident 1. The allegation was determined to be unsubstantiated as there was no preponderance of evidence proving the alleged violation occurred.
Report Facts
Facility capacity: 160
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
| Adam Alvarado | Maintenance Director | Greeted Licensing Program Analyst and granted entry to the facility |
| Johanna Gonzalez | Administrator | Facility Administrator named in the report header |
Inspection Report
Census: 102
Capacity: 160
Deficiencies: 0
Feb 2, 2023
Visit Reason
An unannounced Case Management visit was conducted to follow up on an incident report received regarding a resident who was taken to the ER and sustained a pelvic fracture.
Findings
The Licensing Program Analyst reviewed resident records and incident details but found no deficiencies at this time. Further follow-up is planned to gather more information on the incident.
Report Facts
Incident report date: Jan 27, 2023
Incident date: Jan 22, 2023
Medication administration date: Jan 22, 2023
Belongings pickup date: Jan 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during visit and discussed incident |
| Lydia Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit and reviewed incident |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 160
Deficiencies: 0
Oct 11, 2022
Visit Reason
Unannounced case management visit to follow up on an incident report submitted regarding a missing $600 from a resident's purse.
Findings
No citations were noted during the visit. The facility reported no other similar complaints and no suspicion of a perpetrator. The resident was interviewed privately to gather their account.
Complaint Details
Incident involved a missing $600 reported by Resident 1's sister on 09/29/2022. Newport Beach police were notified and a case was created. The officer stated the matter is being documented only at this time.
Report Facts
Missing cash amount: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during the visit and provided information about the incident. |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the unannounced case management visit and interview. |
| Alisa Ortiz | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 160
Deficiencies: 0
Sep 6, 2022
Visit Reason
Unannounced case management visit to follow up on an incident report received regarding a resident alleging inappropriate touching by another resident.
Findings
The facility conducted an investigation but was unable to identify the alleged male resident due to lack of information. The resident was placed on escorting for two weeks and reported feeling safe during the visit. No deficiencies were noted during the visit.
Complaint Details
Incident report dated 08/25/2022 indicated Resident 1 advised home health nurse of inappropriate touching by a male resident. Police responded and took a report. Facility investigation was inconclusive. Resident was escorted for two weeks. Resident verbalized no concern during visit.
Report Facts
Escort duration (weeks): 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during the visit. |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Alisa Ortiz | Licensing Program Manager | Named in the report header. |
Inspection Report
Census: 89
Capacity: 160
Deficiencies: 0
Aug 16, 2022
Visit Reason
An unannounced health and safety case management visit was conducted to assess the facility's compliance and resident well-being following a recent resident death.
Findings
No health or safety violations were noted during the visit. The facility was observed with residents participating in activities and relaxing in common areas. The resident who died had no prior observed suicidal ideations or behaviors since admission.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Administrator | Met with Licensing Program Analyst during the visit and discussed the purpose of the visit. |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced health and safety case management visit. |
| Alisa Ortiz | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 160
Deficiencies: 0
Aug 16, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation of unlawful eviction at the facility.
Findings
The investigation found that the allegation of unlawful eviction was unfounded. Resident 1 was hospitalized and had a prohibited medical condition; the family declined the facility's condition for return, and the resident was moved out by the family.
Complaint Details
The complaint alleged unlawful eviction. The investigation determined the allegation to be unfounded, meaning it was false or without reasonable basis.
Report Facts
Capacity: 160
Census: 89
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Johanna Gonzalez | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 160
Deficiencies: 0
Jul 21, 2022
Visit Reason
Unannounced case management visit to follow up on incident reports received by Community Care Licensing regarding residents found outside the facility and suicidal ideations.
Findings
The visit found that Resident 1 was found outside the facility but redirected with no adverse effects, and Resident 2 was sent to the hospital for suicidal ideations but returned cleared. Both residents expressed satisfaction and appeared well cared for. No deficiencies were noted during the visit.
Complaint Details
The visit was triggered by incident reports: Resident 1 was found outside the facility gate near a gas station and Resident 2 was sent to the hospital after verbalizing suicidal ideations. Resident 1 has a diagnosis of Dementia and is unable to leave unassisted. Resident 2 has Mild Cognitive Impairment with no mental health diagnosis. Both residents were found safe and satisfied with the facility.
Report Facts
Incident report date: Jul 18, 2022
Incident report date: Jul 7, 2022
Physician report date: Jul 13, 2022
Physician report date: Apr 22, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during visit and discussed purpose of visit |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 160
Deficiencies: 0
May 18, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on incident reports received by Community Care Licensing involving a fire incident and a resident altercation in the memory care unit.
Findings
The visit found no deficiencies; the fire incident was managed without injury and the residents involved in the altercation appeared safe and well cared for during the visit.
Complaint Details
The visit was triggered by incident reports dated 05/13/2022 and 05/16/2022 involving a microwave fire in a resident's room and an altercation between two residents in the memory care unit. No injuries or open wounds were noted, and residents were assessed as safe.
Report Facts
Incident report dates: 05/13/2022 and 05/16/2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during the visit |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 86
Capacity: 160
Deficiencies: 0
Feb 23, 2022
Visit Reason
Licensing Program Analyst Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required annual inspection of the facility.
Findings
No deficiencies were noted during the visit. The facility appeared clean, sanitary, and well maintained with residents appearing happy and well cared for. All resident files were up to date and the facility had approved mitigation plans and emergency supplies.
Report Facts
Residents on hospice care: 5
Residents in Assisted Living: 71
Residents in Memory Care: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Administrator | Facility Administrator present during the inspection |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 160
Deficiencies: 0
Feb 23, 2022
Visit Reason
The visit was an unannounced case management follow-up on an incident report received on 2021-02-07 regarding an agency caregiver allegedly speaking inappropriately to a resident.
Findings
The Licensing Program Analyst spoke with the resident involved, who refused to disclose the inappropriate comment but expressed feeling safe and satisfied with facility caregivers. No further investigation was required.
Complaint Details
The complaint involved Resident 1 reporting inappropriate speech by an agency caregiver. The facility notified the agency and barred the staff member from returning. The resident refused to speak with police and did not disclose details during the visit. The complaint was not substantiated further.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Discussed the purpose of the visit with the Licensing Program Analyst. |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 160
Deficiencies: 0
Nov 22, 2021
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that the facility was wrongfully evicting a resident.
Findings
The investigation found that the resident eloped from the facility and required memory care placement, which was not immediately available. The facility provided a one-on-one caregiver and offered other facility options, which the family declined. No eviction notice was given, and the allegation was deemed unfounded.
Complaint Details
The complaint alleged wrongful eviction of a resident. The allegation was investigated and found to be unfounded, meaning the allegations were false or without reasonable basis.
Report Facts
Capacity: 160
Census: 97
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Johanna Gonzalez | Administrator / Executive Director | Met with the investigator and provided information during the investigation |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 98
Capacity: 160
Deficiencies: 0
Nov 16, 2021
Visit Reason
An unannounced case management visit was conducted to follow up on an incident report dated 11/07/2021 involving four residents who exited the facility grounds.
Findings
The visit found that all four residents were unable to leave the facility per physician report, two residents were referred to the memory care unit, and three residents were observed participating in activities and reported feeling safe and cared for.
Report Facts
Residents involved in incident: 4
Residents observed: 3
Residents verbalized: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during the visit and discussed the purpose of the visit |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 98
Capacity: 160
Deficiencies: 0
Oct 27, 2021
Visit Reason
The visit was an unannounced case management follow-up on incident reports submitted on 10/18/2021 and 10/26/2021 related to resident safety incidents at the facility.
Findings
The inspection found that one resident was found on the roof attempting to end their life and was hospitalized, and another incident involved two residents in an altercation with no injuries. The facility took appropriate actions including calling emergency services and police, and no further action was required.
Report Facts
Incident report dates: Incident reports dated 10/17/2021 and 10/25/2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during the visit |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 160
Deficiencies: 1
Jun 18, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility did not seek timely medical attention for a resident.
Findings
The investigation substantiated the allegation that the facility failed to provide timely medical attention to a resident who was found on the floor with a skin tear and bleeding. The resident was not sent out for evaluation despite facility policy to call 911 for falls with possible head injury or larger lacerations. The resident subsequently passed away.
Complaint Details
The complaint was substantiated based on the preponderance of evidence. The allegation was that the facility did not seek timely medical attention for a resident who fell and was injured.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee failed to ensure care and supervision was provided to resident in care. Resident was discovered on the floor with a skin tear, bleeding, and dizziness and was not sent out for evaluation, posing a potential health and safety risk. | Type B |
Report Facts
Census: 101
Total Capacity: 160
Plan of Correction Due Date: Jun 25, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Myra Aragones | Administrator | Facility administrator named in the report |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 160
Deficiencies: 0
Jun 18, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that facility staff handled a resident in a rough manner and did not return the resident's personal belongings.
Findings
The investigation found that the allegations were unfounded. Observations and interviews indicated that the resident's belongings were present and staff denied rough handling, noting the resident had behaviors requiring extra care.
Complaint Details
The complaint was investigated and deemed unfounded, meaning the allegations were false, could not have happened, and/or were without a reasonable basis.
Report Facts
Complaint Control Number: 22-AS-20201228162326
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings. |
| Johanna Gonzalez | Executive Director | Discussed the purpose of the visit with the Licensing Program Analyst. |
| Alisa Ortiz | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Census: 101
Capacity: 160
Deficiencies: 0
Jun 18, 2021
Visit Reason
An unannounced case management visit was conducted to follow up on incident reports submitted to Community Care Licensing.
Findings
The visit reviewed incidents involving Resident 1 who became aggressive and required a psych evaluation and one-on-one companion, and Resident 2 who was found deceased. No citations were noted during the visit.
Report Facts
Incident report date: May 16, 2021
Death report date: May 10, 2021
Resident 1 move out date: Jun 15, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Johanna Gonzalez | Executive Director | Met with Licensing Program Analyst during visit |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Licensing Program Manager | Named in report |
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