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Complaint Investigation

Buena Park Nursing Center

November 3, 2025 · Buena Park, CA · 8520 Western Avenue
Citations 3
CMS Rating 2/5
Beds 143
Provider ID 055571
Healthcare Facility
Buena Park Nursing Center
Buena Park, CA  ·  View full profile →
Inspection Summary

BUENA PARK NURSING CENTER in BUENA PARK, CA — inspection on November 3, 2025.

Found 3 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.

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Inspection Findings

FF0552
Resident Rights Deficiencies
Potential for Minimal Harm

On 10/30/25 at 1553 hours, an interview was conducted with the DON.

The DON acknowledged and verified the above findings.

minimal harm

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/03/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Buena Park Nursing Center

8520 Western Avenue Buena Park, CA 90620

SUMMARY STATEMENT OF DEFICIENCIES

Review of the facility's P&P titled Comprehensive Care Planning revised 3/2019 showed the plan of care must include measurable objectives and timeframes and describe the services that are to be furnished to attain and maintain the resident's highest practicable level of well-being.

Closed medical record review for Resident 1 was initiated on 10/23/25. Resident 1 was admitted to the facility on [DATE], and was discharged to the acute care hospital on 3/2/25.

Review of Resident 1's H&P examination dated 10/14/24, showed Resident 1 had no capacity to understand and make decisions.

Review of Resident 1's Licensed Nurses Progress Note dated 11/22/24, showed Resident 1 was found on the right side of bed on floor and on side lying position.

Review of Resident 1's Plan of Care failed to show a care plan problem was developed to address Resident 1's actual fall. On 10/30/25 at 1022 hours, an interview and concurrent medical record review for Resident 1 was conducted with RN 1. RN 1 reviewed Resident 1's Resident Care Plan and verified there was no care plan problem to address Resident 1's actual fall on 11/22/24. On 10/30/25 at 1553 hours, an interview and concurrent medical record review for Resident 1 was conducted with the DON.

When the DON was asked about the process when a resident had a fall incident, the DON stated it was the responsibility of the licensed nurse to do the change of condition and care plan should be completed with each change of condition for the resident.

The DON acknowledged and verified the above findings.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/03/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Buena Park Nursing Center

8520 Western Avenue Buena Park, CA 90620

SUMMARY STATEMENT OF DEFICIENCIES

On 10/30/25 at 1300 hours, an interview and concurrent medical record review for Resident 2 was conducted with RN 1. RN 1 verified the above findings. RN 1 verified a neurological check was not initiated after Resident 2's fall on 10/1/25. RN 1 stated neurological checks were done for 72 hours status post fall and were done to monitor for changes in the resident's level of consciousness and for neurological changes.

On 10/30/25 at 1623 hours, an interview and concurrent medical record review for Resident 2 was conducted with the DON.

The DON verified Resident 2 had an unwitnessed fall on 10/1/25.

The DON stated Resident 2 should have had a neurological check for 72 hours status post unwitnessed fall.

The DON further stated that neurological check allowed the nurses to assess for significant changes to the resident, which may indicate a head injury where the physician will need to be notified immediately.

On 10/31/25 at 1615 hours, an interview was conducted with the DON.

The DON acknowledged and verified the above findings.

Facility ID:

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 BUENA PARK, 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 BUENA PARK NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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