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Complaint Investigation

Kindred Hospital Brea D/p Snf

May 29, 2026 · Brea, CA · 875 N Brea Blvd
Citations 2
CMS Rating 3/5
Beds 38
Provider ID 555859
Healthcare Facility
Kindred Hospital Brea D/p Snf
Brea, CA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

KINDRED HOSPITAL BREA D/P SNF in BREA, CA — inspection on May 29, 2026.

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

FF0693
Quality of Life and Care Deficiencies

Review of Resident 1's Care Plan Report dated 5/29/26, showed a care plan problem (undated) addressing the resident's enteral nutrition orders.

The interventions included elevating the HOB 30-45 degrees during the feeding and maintaining this elevation for 30-40 minutes after feeding stopped.

Review of Resident 1's Care Plan Report 5/29/26, showed a care plan problem (undated) for gastrointestinal bleeding, and gastrointestinal reflux (GERD).

The interventions included positioning Resident 1upright position while the tube feeding was running and maintaining upright position for 30-45 minutes afterward. On 5/29/26 at 0929 hours, Resident 1 was observed lying in bed with the HOB positioned at 20 degrees.

On 5/29/26 at 1025 hours, Resident 1 was observed lying in bed with the HOB positioned at 20 degrees. On 5/29/26 at 1306 hours, an observation and concurrent interview was conducted with LVN

  • When asked what the HOB setting should be for Resident 1, LVN 1 stated the HOB should be at 45
  • degrees because Resident 1 was receiving GT feeding.

When asked what the current HOB setting was, LVN 1 verified the HOB was at 20 degrees and also verified Resident 1's GT feeding was actively infusing. On 5/29/26 at 1700 hours, an interview was conducted with the Administrator and DON.

The Administrator and DON were informed and acknowledged the above findings.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

555859 05/29/2026

Kindred Hospital Brea D/P Snf 875 N Brea Blvd Brea, CA 92821

Review of the facility's P&P titled Readmission, Handwritten Orders, and Written Transfer Orders dated 10/2022 showed to enter orders into the electronic medical record (EMR).

The physician electronically signs the order in the EMR.

Medical record review for Resident 4 was initiated on 5/29/26. Resident 4 was admitted to the facility on [DATE].

Review of Resident 4's Clinical Note Summary Dated 3/10/26, showed a new physician's order to discontinue the vent and downsize the trach (tracheostomy) to uncuffed Portex 6 (size of the tracheostomy tube, without the presence of an inflatable balloon).

However, further review of Resident 4's Clinical Note Summary failed to show the discontinued order was signed and dated by the physician.

Review of Resident 4's document (untitled) dated 3/20/26, showed a verbal physician's order to titrate oxygen to maintain oxygen saturation.

However, further review of the document failed to show the physician signed the order. On 5/29/26 at 1555 hours, an interview was conducted with the Administrator and DON.

The Administrator stated the facility did not have a system for physicians to sign discontinued orders. On 5/29/26 at 1700 hours, an interview was conducted with the Administrator and DON.

The Administrator and DON were informed and acknowledged the above findings.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BREA, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from KINDRED HOSPITAL BREA D/P SNF or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.