Inspection Reports for
Newport Nursing and Rehabilitation Center

The facility was found to be in compliance with all applicable regulations with no deficiencies cited. Observations included clean and well-equipped resident apartments, operational safety equipment, proper medication storage, and complete resident files with current documentation and training.

The complaint investigation was substantiated. Resident 3 physically assaulted Resident 4 twice, causing injuries. Residents 1 and 2 eloped through a malfunctioning exit door alarm, placing them at risk of harm.

The facility failed to protect residents from physical abuse when one resident punched another multiple times causing injuries requiring hospital transfer. Additionally, the facility failed to maintain a safe environment to prevent elopement of two residents through an exit door with a malfunctioning alarm system.

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.

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.

The facility was generally found to be in compliance with regulations, including adequate staff training, proper maintenance of resident rooms, and safety systems. However, one Type B deficiency was cited related to improper management of self-administered medications for a resident.

The facility had multiple deficiencies including failure to notify physicians of changes in resident conditions, medication administration errors, inadequate infection control practices, improper food handling and sanitation, and failure to maintain a Legionella water management program.

The complaint investigation found that Resident 1 was served dairy milk despite a documented allergy, confirmed by medical records and interviews. The Dietary Supervisor and DON acknowledged the failure and potential for severe allergic reactions.

The facility failed to ensure that Resident 1's dairy allergy was respected, resulting in the resident being served milk despite documented allergies. Interviews with the Dietary Supervisor and Director of Nursing confirmed the error and acknowledged the potential for severe allergic reactions.

No deficiencies were observed or cited during the visit. The facility was found to be clean, organized, and compliant with all required regulations including safety, staffing, resident care, and documentation.

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.

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.

The visit was complaint-related following an incident report alleging a former employee was having sexual relations with female residents. The allegation was not substantiated based on interviews and evidence reviewed.

Interviews with the resident who reported the incident, six additional residents, and three staff members found no corroboration of the alleged incident. No citations were noted during the visit.

The facility was found deficient in multiple areas including failure to properly assess and document residents' self-administration of medications, inconsistent application of care plans, medication administration errors, improper storage of medications and supplies, failure to follow dietary menus and resident preferences, inadequate infection control practices including hand hygiene and PPE use, and lack of regular inspection of beds and side rails for entrapment risks.

The facility failed to provide all requested medical records for one of two sampled residents, potentially delaying necessary services after discharge. Interviews and document reviews confirmed incomplete record provision and lack of documented evidence that all requested records were provided.

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.

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.

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.

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.

The visit was complaint-related, investigating the circumstances surrounding Resident 1's death. The allegation was determined to be unsubstantiated due to lack of evidence proving a violation occurred.

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 causing the death, and the allegation was determined to be unsubstantiated.

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.

The visit was triggered by an incident report dated 01/27/2023 concerning Resident 1's whereabouts and injury. The complaint is under follow-up with no substantiation status stated yet.

The Licensing Program Analyst reviewed Resident 1's records and incident details but found no deficiencies at this time. Further follow-up is planned to gather more information on the incident.

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.

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.

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.

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.

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 placed on escorting for two weeks. Resident verbalized no concern during visit and felt safe.

The facility conducted an investigation but was unable to identify the alleged male resident involved. The resident was placed on escorting for two weeks and reported feeling safe during the visit. No deficiencies were noted during the visit.

The complaint alleged unlawful eviction. The investigation was unannounced and included interviews, facility tour, and document review. The allegation was found to be unfounded.

The investigation found that Resident 1 was hospitalized and had a prohibited medical condition (tunneled port catheter for dialysis). The facility required a 24-hour nurse for the resident's return, which the family declined, leading to the resident's removal by family. The allegation of unlawful eviction was deemed unfounded.

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.

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.

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.

The visit found that Resident 1 was found outside the facility but was safely redirected back, and Resident 2 was sent to the hospital for suicidal ideations but returned with no medication changes. Both residents expressed satisfaction and felt safe. No deficiencies were noted during the visit.

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.

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.

Two incidents were reviewed: a microwave fire in a resident's room which was extinguished with no injuries, and an altercation between two residents in the memory care unit with no injuries. Both residents appeared safe and well cared for during the visit. No deficiencies were noted.

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.

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.

The facility appeared clean, sanitary, and well maintained with all required elements in resident rooms and restrooms. No deficiencies were noted during the visit, and residents appeared happy and well cared for.

The visit was complaint-related following an incident report alleging inappropriate communication by an agency caregiver. The resident refused to speak with police and did not disclose details during the visit.

The resident refused to disclose the inappropriate comment but expressed feeling safe and satisfied with facility caregivers. No further investigation was required.

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.

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.

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.

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.

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.

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.

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.

The facility was found deficient in maintaining resident dignity during wound treatment, protecting resident identifiable information, ensuring availability of PRN pain medication, proper labeling and storage of drugs and food, and maintaining sanitary conditions for equipment storage.

The facility was found deficient in maintaining resident dignity during wound treatment, protecting resident identifiable information, ensuring availability of PRN pain medication, proper labeling and storage of drugs and food, and maintaining sanitary conditions for equipment storage. These deficiencies posed potential risks for harm, including loss of dignity, medication errors, foodborne illness, and cross contamination.