Burbank Healthcare & Rehab: Medication Errors Put Resident at Risk - CA
The medication was valsartan, prescribed to control a resident's blood pressure....
Latest reports, citations, and penalties from CMS data
The medication was valsartan, prescribed to control a resident's blood pressure....
The citation came out of a complaint investigation conducted on November 19, 2025, not a routine survey....
Federal inspectors visited Rio Rancho Center on November 18, 2025, responding to a complaint....
But the inspectors' own finding carried a significant qualifier: there was potential for more than minimal harm....
Dialysis is not a comfort measure....
Inspectors stayed long enough to finish their work, document their findings, and prepare to leave....
The November inspection, triggered by a complaint, cited the facility under a federal tag requiring sufficient nursing staff to meet residents' needs....
The violation was tagged under F0727, which covers RN coverage requirements, and was assessed at a level of minimal harm or potential for actual harm....
At Riverbend Post Acute Rehabilitation, that paperwork wasn't happening the way it was supposed to....
Inspectors cited the facility under F0759, the federal standard governing medication administration errors and omissions....
Inspectors classified the finding at Scope/Severity Level E, meaning the problem was not isolated to a single incident or a single resident....
The citation, issued November 18, 2025, covers one of the most basic protections a nursing home resident is supposed to have....
The November 19 inspection was triggered by a complaint....
The order was specific: nurses had to assess the resident's pain level before administering the drug, and document what they found....
Inspectors cited Riverbend Post Acute Rehabilitation on November 19, 2025, for deficient pressure ulcer care....
It was one of seven deficiencies inspectors recorded during that visit....
The bags were still there the next morning....
Federal health inspectors visited Waveny Care Center on November 18 and left with seven deficiency citations....
That last part is what sets this citation apart....
Federal health inspectors visited the Springfield facility on November 19, 2025, responding to a complaint....