Beverly Hills Rehabilitation Centre: Isolation Failures - CA
The finding affected a small number of residents, but the failure ran through multiple layers of the facility's own systems....
Latest reports, citations, and penalties from CMS data
The finding affected a small number of residents, but the failure ran through multiple layers of the facility's own systems....
Federal inspectors cited the facility under F0677, the tag covering activities of daily living....
The incident involving the resident identified in inspection records as R200 unfolded on a November morning during breakfast....
The November 2025 complaint investigation turned up two deficiencies at the Ellensburg nursing home....
That is what Resident 6 told inspectors during a November 2025 complaint investigation at the facility on East Colorado Avenue....
Federal health inspectors cited the facility following a complaint investigation completed on November 21, 2025....
The violation, cited under F0842, centers on who is allowed to make entries in a resident's clinical record....
That classification does not mean the lapse was inconsequential....
The November 2025 complaint inspection found the facility had caused actual harm to at least one resident....
The inspection was triggered by a complaint....
The deficiency was tagged under care planning requirements and recorded as carrying potential for actual harm....
She said she passed along the information and expected the nurse to handle it....
The deficiency tag, F0684, sits within the Quality of Life and Care category....
Then inspectors arrived in November and found that rooms were neither safe nor clean....
"They call me for everything," she told inspectors....
Federal inspectors found the unlabeled pie on the left side shelf inside the freezer, near the door, during a complaint inspection on December 23, 2025....
The citation at Stone Oak Care Center came during a complaint investigation conducted on November 20, 2025....
The citation, tagged F0656, centered on the facility's failure to develop and maintain comprehensive care plans for its residents....
The inspection was triggered by a complaint....
That finding sits at the center of a complaint inspection conducted November 26, 2025, at the facility on West Third Street....