Anaheim Point
ANAHEIM POINT in ANAHEIM, CA — inspection on March 6, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident 4's Order Summary Report showed the following physician's orders:
- dated 1/30/24, Dialysis on Monday, Wednesday, and Friday at 1230 hours; and
- dated 2/8/24, to monitor the AV shunt in the right arm for bruit and thrill every shift.
Review of Resident 4's Care Plan revised 3/13/24, showed a care plan focus problem addressing Resident 4's potential for complications of ESRD/dialysis.
The interventions included to auscultate shunt site for bruit and palpate for thrill per protocol or every shift.
Document the presence or absence.
Notify the physician and dialysis center of absent thrill/bruit as soon as possible.
Review of Resident 4's MAR for December 2024, January, February, and March 2025 showed the licensed staff documented Resident 4's AV shunt was - (negative) for thrill and bruit on 12/1/24 and 1/18/25; 0 (zero) on 12/12/24; X on 12/13/24 and 1/29/25; and NA on 2/23 and 3/4/25.
Further review of Resident 4's medical record failed to show the physician was notified when the AV shunt was assessed without or negative for thrill and bruit.
555688
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 555688 B.
Wing 03/06/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Anaheim Point 3415 W Ball Road Anaheim, CA 92804
Review of Resident 34's H&P examination dated 2/10/25, showed Resident 34 had the capacity to understand and make decisions.
Review of Resident 34's Order Summary Report showed a physician's order dated 2/10/25, to administer hydrocodone-acetaminophen (controlled pain medication) 10-325 mg one tablet by mouth every six hours as needed for severe pain (pain level of 7-10, using the 0-10 pain scale; zero meaning no pain and 10 meaning worst pain).
Review of Resident 34's Individual Narcotic Record for the hydrocodone-acetaminophen 10-325 mg tablet showed one hydrocodone-acetaminophen 10-325 mg oral tablet was dispensed and signed out on 2/25/25 at 1808 hours, and 3/1/25 at 2000 hours.
Review of Resident 34's MARs for February and March 2025, failed to show the documentation of the administration for the hydrocodone-acetaminophen 10-325 mg oral tablet dispensed on 2/25/25 at 1808 hours, and 3/1/25 at 2000 hours.
On 3/4/25 at 1403 hours, an interview and concurrent medical record review was conducted with LVN 6. LVN 6 verified the above findings.
On 3/4/25 at 1410 hours, an interview and concurrent medical record review was conducted with the DON.
The DON was informed and verified the above findings.
The DON stated the licensed nurse must document on the MAR when the medication was administered to the resident.
555688
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 555688 B.
Wing 03/06/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Anaheim Point 3415 W Ball Road Anaheim, CA 92804