Anaheim Healthcare Center, Llc

The facility failed to ensure the physician's order for the oxygen therapy was followed for Resident 81. In addition, there was no documentation of the oxygen administration.

* Resident 83 received oxygen therapy without a physician's order.

*

The facility failed to ensure the oxygen humidifier was labeled for Resident 70.

These failures had the potential for these residents to not receive appropriate respiratory care and increase risks of the infection.

Findings:

Review of the facility's P&P titled Oxygen Administration revised dated 6/2023 showed the oxygen is administered under the orders of a physician, except in case of an emergency. In such case, oxygen is administered and the orders for oxygen are obtained as soon as practicable when the situation is under control.

The facility's P&P further showed other infection control measures include to change oxygen tubing and mask/cannula weekly and as needed if it becomes soiled or contaminated. If applicable, change nebulizer tubing and delivery devices every 72 hours, per the manufacturer's recommendation or per facility policy and as needed if they become soiled or contaminated, and keep delivery devices covered in plastic bag when not in use.

Review of the facility' s P&P titled Changing Suction Canisters revised 7/8/24, showed to minimize the risk of infection to the resident, the resident's suction canister and tubing shall be changed once a week and as needed.

1. On 4/7/25 at 0911 hours, during an observation, Resident 74 was observed lying in bed.

The nebulizer tubing, mask, and canister were observed in a set up bag on the left side of Resident 74's bed with no label indicating when the nebulization tubing, canister, and mask were last changed.

Medical record review for Resident 74 was initiated on 4/7/25. Resident 74 was admitted to the facility on [DATE].

Review of Resident 74's Order Summary Report showed an order dated 1/21/25, to administer ipratropium-albuterol inhalation solution (to treat and prevent symptoms of wheezing and shortness of breath) 3 ml inhale orally every four hours as needed for chest congestion/shortness of breath/wheezing.

055984

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055984 B.

Wing 04/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Anaheim Healthcare Center, LLC 501 South Beach Blvd.

Anaheim, CA 92804

Review of the facility's P&P titled Coronavirus Prevention and Response revised on 12/2022 showed the health care provider who enter the room of a resident with suspected or confirmed COVID-19 infection should adhere to standard precautions and use NIOSH-approved particulate respiratory with N95 filters or higher, gown, gloves, and eye protections.

On 4/9/25 at 1540 hours, a concurrent observation and interview was conducted with RN 3 in front of Room D.

Room D's door was observed with a sign showing Red Room - Please Keep Door Closed at All Times and Required PPE included Face Shield, N95 mask, Gown, and Gloves. RN 3 was observed standing at the entrance of room [ROOM NUMBER]'s room with the door open, sticking her head inside the room while taking to the residents without wearing her N95 mask. RN 3 verified the findings and verified room [ROOM NUMBER] was a COVID-19 positive room. RN 3 stated she should have worn her N95 mask when talking to the COVID-19 positive residents at the doorway. RN 3 further stated she should have worn her N95 mask to ensure infection control was maintained.

On 4/14/25 at 1139 hours, an interview was conducted with the DON.

The DON verified the facility had a COVID-19 outbreak with multiple residents testing positive for COVID-19.

The DON stated she expected her staff to wear the proper PPE when working with the residents on COVID-19 isolation precautions.

The DON stated the PPE included wearing a face shield, N95 mask, gown, and gloves.

The DON further stated the staff should have properly worn the N95 mask when communicating with the COVID-19 positive residents at the doorway to ensure infection control was maintained.

5.

Review of the facility's P&P titled EBP revised on 6/2024 showed it is the policy of the facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms.

The EBP refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted grown and gloves use during high contact resident care activities.

The P&P further showed the EBP are indicated for the residents including those with indwelling medical devices like central lines, hemodialysis catheters, urinary catheters, and feeding tubes.

Medical record review for Resident 179 was initiated on 4/8/25. Resident 179 was admitted to the facility on [DATE].

Review of Resident 179's H&P examination dated 1/18/25, showed Resident 179 did not have the capacity to understand and make decisions.

055984

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055984 B.

Wing 04/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Anaheim Healthcare Center, LLC 501 South Beach Blvd.

Anaheim, CA 92804