Huntington Drive Health: Documentation Failures - CA
The care plan for the resident, identified in inspection records only as Resident 1, listed dizziness documentation as a specific intervention under her fall risk protocol, dated July 1, 2025. The logic was straightforward: if nurses recorded each episode and how often they occurred, the care team could look at the pattern and decide whether she needed additional support. Without those notes, nobody could make that call.
The Director of Nursing confirmed it during a 2:56 p.m. interview with inspectors. According to her, licensed staff were supposed to be capturing dizziness episodes and their frequency in the nurses' progress notes. The records showed they weren't.
The gap matters because dizziness in a fall-risk resident isn't a minor inconvenience. It is one of the signals a care team uses to adjust a resident's plan before something worse happens. The whole point of documenting it is to catch a trend before it becomes a fall, a fracture, or a hospitalization. When the notes don't exist, the trend is invisible.
The facility's own internal policy, a charting and documentation procedure revised in July 2017, required that all services provided to a resident, any progress toward care plan goals, and any changes in a resident's medical, physical, or psychosocial condition be recorded in the medical record. The policy described the record's purpose plainly: to facilitate communication between the interdisciplinary team members responsible for a resident's care.
That communication wasn't happening for Resident 1.
The violation was cited under F0842, which covers the accuracy and completeness of medical records. Inspectors classified the level of harm as minimal harm or potential for actual harm, and noted that few residents were affected. Those designations reflect the inspection findings as recorded, but they don't resolve what the missing documentation left unaddressed: whether Resident 1's dizziness was getting better, getting worse, or staying the same. Nobody on the care team could answer that from the chart.
Huntington Drive Health and Rehabilitation Center is located in Arcadia, in Los Angeles County. The inspection was a complaint survey.
The facility's undated policy carried a revision date of July 2017, meaning the documentation standard it described had been in place for at least eight years by the time inspectors arrived. The care plan intervention requiring dizziness documentation had been active for nearly two months. In that window, whatever Resident 1 experienced, whatever she told staff, whatever licensed nurses observed, went unrecorded.
The Director of Nursing did not dispute the finding.
What the chart contained at the end of August 2025 was a care plan with an intervention that assumed documentation was occurring, and a progress notes section that didn't show it was. For a resident whose care team had already identified her as someone at risk of falling, the absence of that record left the most basic question unanswered: was she getting worse?
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Huntington Drive Health and Rehabilitation Center from 2025-08-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 29, 2026 · Our methodology
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER in ARCADIA, CA was cited for violations during a health inspection on August 29, 2025.
Without those notes, nobody could make that call.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.