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Complaint Investigation

Buena Park Nursing Center

Inspection Date: January 30, 2026
Total Violations 2
Facility ID 055571
Location BUENA PARK, CA
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Inspection Findings

F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation, interview, medical record review and facility P&P review, the facility failed to ensure the care plan was followed for the use of restraints for one of six sampled residents (Resident 6). * The facility failed to ensure Resident 6's left hand mitten was released every two hours as per the care plan. This failure had

the potential to cause delays in identifying possible health risks associated with the use of hand mitten restraint including poor circulation and impaired skin integrity. Findings: Review of the facility's P&P titled Physical Restraints revised 1/2017 showed if the restraints are utilized, the opportunity for motion and exercise should be provided for a period of not less than 10 minutes during two hour period in which restraints are utilized. Medical record review for Resident 6 was initiated on 1/28/26. Resident 6 was admitted to the facility on [DATE REDACTED]. Review of Resident 6's Order Summary Report showed a physician's order dated 3/10/25, to apply left hand mitten necessity due to persistent pulling out of GT. Review of Resident 6's care plan for usage of the left hand mittens or persistent pulling out of GT initiated 3/10/25 and revised 11/9/25, showed interventions including the application of the left hand mitten to prevent pulling out

the tube and release every two hours for circulation and comfort for 15 minutes. Review of Resident 6's MAR for March 2025 showed the left hand mitten placement was monitored every shift on 3/10 - 3/31/25.

Review of Resident 6's medical record failed to show documented evidence Resident 6's left hand mitten restraint was released every two hours for skin integrity and circulation. On 1/30/26 at 1100 hours, an

interview and concurrent medical record review for Resident 6 was conducted with RN 1. RN 1 stated the facility protocol for the use of hand mitten restraint was to remove the hand mitten every two hours and check for circulation and skin condition. RN 1 verified Resident 6 did not have an order to monitor circulation and skin condition every 2 hours. RN 1 further verified there was no documentation to show whether Resident 6's hand mittens were released every two hours to monitor for circulation and comfort. On 1/30/26 at 1315 hours, an interview was conducted with the Administrator. The Administrator was 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 REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

01/30/2026

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Buena Park Nursing Center

8520 Western Avenue Buena Park, CA 90620

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0755

and Administrator were informed and acknowledged the findings.

Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

BUENA PARK NURSING CENTER in BUENA PARK, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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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