Inspection Report

Rinaldi Convalescent Hospital: Fall Safety Order Ignored - CA

June 18, 2026

Granada Hills, CA

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The resident is identified in inspection records only as Resident 12. He lives at Rinaldi Convalescent Hospital on Rinaldi Street in Granada Hills. After he fell on January 29, the facility's interdisciplinary team reviewed what happened and recommended landing pads be placed at his bedside. His physician agreed and issued an order that same day, January 29, directing staff to place the pads on both sides of the bed.

Nobody did it.

Inspectors arrived on March 28 and found the room bare of any floor padding. A registered nurse standing in the room with inspectors that morning acknowledged it directly: there were no landing pads at the bedside, she said, and there should be.

That evening, inspectors reviewed Resident 12's physician order summary, his care plan, and the post-fall review form with the facility's Assistant Director of Nursing. The documents confirmed everything the nurse had said. The physician order was dated January 29. The interdisciplinary team recommendation was dated January 29. The mats were never placed. The Assistant Director of Nursing said the potential outcome was increased risk of injury if the resident fell again.

The Director of Nursing said the same thing the following afternoon. Staff are required to carry out physician orders for fall precautions, she said. Resident 12 had such an order. It was not carried out.

What that means in practice is this: if Resident 12 got out of bed on his own, or rolled toward the edge in the night, or lost his footing standing up, there was nothing on the floor to break the impact. The physician who ordered the pads had already seen what a fall looked like for this man. The recommendation existed precisely because the risk was known.

The gap between the order and the inspection was 58 days.

The facility's own written policy on fall prevention states that licensed staff will identify and implement interventions, including floor pads, to minimize the serious consequences of falling for residents with a history of falls. Resident 12 had that history. He had the physician order. He had the care plan notation. The policy was last reviewed by the facility on January 19, ten days before his fall.

The deficiency was cited at a level of minimal harm or potential for actual harm, meaning inspectors determined no documented injury resulted from the lapse during the period reviewed. That classification reflects what inspectors could establish from records, not a judgment that nothing could have gone wrong.

What the record shows is a resident who fell, whose doctor responded the same day with a specific protective measure, and whose care team documented the recommendation in writing. Then two months passed. The mats stayed wherever they were stored. Resident 12's floor stayed bare.

The Director of Nursing and the Assistant Director of Nursing both confirmed the failure without dispute when inspectors asked. Neither offered an explanation for how a physician order with a same-day start date went unimplemented for nearly two months without anyone catching it.

Resident 12 remained at the facility as of the inspection date.

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

Editorial Standards

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 18, 2026 · Our methodology

Quick Answer

RINALDI CONVALESCENT HOSPITAL in GRANADA HILLS, CA was cited for violations during a health inspection on March 29, 2026.

The resident is identified in inspection records only as Resident 12.

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.

Frequently Asked Questions

What happened at RINALDI CONVALESCENT HOSPITAL?

The resident is identified in inspection records only as Resident 12.

How serious are these violations?

Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.

What should families do?

Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in GRANADA HILLS, CA, (5) Report any new concerns directly to state authorities.

Where can I see the full inspection report?

The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from RINALDI CONVALESCENT HOSPITAL or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 055906.

Has this facility had violations before?

To check RINALDI CONVALESCENT HOSPITAL's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.