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Fortuna Rehab: Skipped Brain Injury Checks - CA
Resident 74 fell on August 11 in an incident nobody witnessed....
Latest reports, citations, and penalties from CMS data
Resident 74 fell on August 11 in an incident nobody witnessed....
The resident's potassium dropped to a critical 2.7 mEq/L, requiring immediate intervention....
Federal inspectors found multiple violations of basic safety protocols at Whittier Hills Health Care Center during a November complaint investigation....
The resident asked for her pain medication schedule to be changed from every six hours to every four hours on November 12....
CNA 1 told inspectors they routinely placed pillows under the fitted sheet to prevent falls when Resident 2 attempted to get out of bed unassisted....
Ocean Pointe Healthcare Center cut Resident 1's daily Donepezil dose from 15 milligrams to 10 milligrams on December 12, 2024....
The breakdown in wound monitoring at Advanced Rehab Center of Tustin came to light during a November 13 federal inspection triggered by a complaint....
Licensed Nurse J found the exposed metal hardware during a wound evaluation on September 3....
The facility had placed Resident #1 on droplet precautions after a recent COVID-19 diagnosis....
The administrator, who has worked at the facility for 11 months, said nursing staff are responsible for medication audits....
The facility's own policy required immediate notification of families when residents experience "significant changes" including death....
The November 14 inspection followed a complaint about restraint use at the 91732 Buffington Road facility....
The incident occurred on September 9, 2025, at Colonial Gardens Nursing Home when Resident 5 told Licensed Vocational Nurse 11 that someone had hit him....
Daily weights are essential for heart failure patients because sudden weight gain signals dangerous fluid buildup that can lead to hospitalization or death....
The resident had completed a POLST form electing "do not attempt resuscitation" status....
On November 12, inspectors found her nebulizer mask and tubing sitting uncovered on her nightstand instead of stored in a protective bag....
No staff members were present in the hallway....
Without his call light within reach, he had no reliable way to alert staff when he needed help....
The September 18 incident occurred while EMTs waited outside the room to transport the resident for a weekly medical procedure....
Resident #3 had been receiving weekly treatment at a local wound care clinic under Medical Director #1....