Rinaldi Convalescent Hospital: Catheter Care Failures - CA
The residents, identified in inspection records as Resident 29 and Resident 99, each had care plans that spelled out exactly what monitoring nurses and aides were supposed to do. The plans directed staff to keep catheter bags and tubing positioned below the bladder, check for kinks, and watch for the specific warning signs that a urinary tract infection was developing: pain, burning, blood-tinged or cloudy urine, foul odor, fever, chills, altered mental status, and changes in behavior or eating. For each resident, inspectors reviewed the medication administration records and treatment administration records for March 2026. There was nothing there.
No licensed nurse had documented monitoring. No certified nursing assistant had recorded catheter care. The care plans existed. The interventions were written down. Nobody had carried them out, or if they had, nobody had written it down, which in a nursing home amounts to the same thing.
The facility's own Director of Nursing confirmed both failures when inspectors interviewed her the afternoon of March 29. She said licensed staff are required to implement care plan interventions and document their monitoring in the resident's medical record. Then she acknowledged that staff had not done that for Resident 99. They had not implemented the care plan interventions for the indwelling catheter. They had not monitored the resident for side effects. She described the potential outcome herself: increased risk of urinary tract infection, and an inability to identify and report complications to the physician.
The Assistant Director of Nursing said the same thing about Resident 29, using nearly identical language.
Urinary tract infections are not a minor risk for nursing home residents. In elderly patients, particularly those with catheters, UTIs can progress rapidly and present in ways that don't look like a classic infection at all. Confusion, agitation, a sudden change in behavior — these are often the first signs in older adults, and they're easy to miss or misread as something else entirely if no one is watching for them. The care plans for both residents named altered mental status and behavioral changes as specific things staff were supposed to be monitoring for and reporting to the physician. That monitoring never made it into the record.
The facility had updated its own catheter care policy less than two months before the inspection, on January 29, 2026. That policy required staff to observe residents for complications, report unusual findings to the physician immediately, and record in the medical record the date and time of catheter care, who provided it, all assessment data collected, and a description of the urine including color, clarity, and odor. The policy was current. The training, presumably, had occurred. The documentation still wasn't there.
Inspectors classified the deficiency as causing minimal harm or potential for actual harm, and noted that few residents were affected. Neither characterization changes what the records showed: two people with indwelling catheters, a known infection risk, went through an entire month without the monitoring their care plans required, and the nursing staff responsible for their care produced no evidence that anyone was paying attention.
The Director of Nursing, asked to explain the potential consequences of what had happened, gave inspectors the clearest summary of the problem: increased risk of UTI, and no way to identify or report complications to the physician. She was describing, in clinical terms, two residents left without a safety net they were supposed to have.
Whether either resident developed an infection during that period, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Rinaldi Convalescent Hospital from 2026-03-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 17, 2026 · Our methodology
RINALDI CONVALESCENT HOSPITAL in GRANADA HILLS, CA was cited for violations during a health inspection on March 29, 2026.
For each resident, inspectors reviewed the medication administration records and treatment administration records for March 2026.
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.