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Complaint Investigation

Burbank Healthcare & Rehab

January 31, 2026 · Burbank, CA · 1041 S. Main St.
Citations 4
CMS Rating 1/5
Beds 188
Provider ID 056129
Healthcare Facility
Burbank Healthcare & Rehab
Burbank, CA  ·  View full profile →
Inspection Summary

BURBANK HEALTHCARE & REHAB in BURBANK, CA — inspection on January 31, 2026.

Found 4 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

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies

During a review of Resident 1's History and Physical (H&P), dated 1/11/2026, the H&P indicated Resident 4 had the capacity to understand and make decisions.

During a review of Resident 1's Minimum Data Set (MDS, a resident assessment tool), dated 1/17/2026, the MDS indicated Resident 4 had intact cognitive functioning (the ability to think, learn, remember, use judgment, and make decisions).

During an interview on 1/26/2025 at 11:15 a.m. with Resident 4, Resident 4 stated that FM 1 came to visit him (Resident 4), took his (Resident 4) wallet, left the facility, charged $500 to Resident 4's credit, and returned back to the facility to give him (Resident 4) back his wallet (with the credit card). Resident 4 stated he cannot remember the exact date and time of the incident. Resident 4 stated he reported the incident to the Social Worker (SW) but cannot remember the date and time he reported it to the SW.

During an interview on 1/26/2026 at 1:30 p.m. with SW, the SW stated that Resident 4 reported to him (SW) that FM 1 took Resident 4's wallet and charged $500 to Resident 4's credit card (did not indicate the date and time).

During an interview on 1/28/2026 at 2:30 p.m. with the Administrator, the Administrator stated Resident 4 informed the SW that FM 1 took Resident 4's wallet and charged $500 on Resident 4's credit card.

The Administrator stated she did not report to the SSA Resident 4's allegation of a misappropriation of property.

The Administrator stated she should have reported the incident to the SSA when it happens again in the future.

During a review of the facility-provided policy and procedure (P&P) titled, Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating, last reviewed on 8/15/2025, the P&P indicated, All reports of resident abuse, . theft/misappropriation of resident property are reported to local, state, and federal agencies (as required by current regulations). If resident abuse, . misappropriation of resident property . is suspected, the suspicion must be reported immediately to the administrator and to the other officials according to the state law.

The Administrator or the individual making the allegation immediately reports his or her suspicion to the following persons or agencies: a.

The State licensing/certification agency responsible for surveying/ licensing the facility. ?Immediately' is defined as: a. within two hours of an allegation involving abuse .

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

056129 01/31/2026

Burbank Healthcare & Rehab 1041 S.

Main St.

Burbank, CA 91506

During a review of Resident 2's Minimum Data Set (MDS - a resident assessment tool), the MDS, dated [DATE], the MDS indicated Resident 2's cognitive functioning was intact (the ability to think, learn, remember, use judgment, and make decisions).

The MDS indicated Resident 2 needed substantial/maximal assistance (helper does more than half the effort with helper lifting or holding trunk or limbs and providing more than half the effort) with toileting hygiene, shower/bathe self, lower body dressing and putting on/taking off footwear.

During a concurrent interview and record review on 1/30/2026 at 3:44 p.m. with the Director of Nursing (DON), Resident 2's Care Plans were reviewed.

The DON stated the facility staff failed to initiate and implement a Care Plan for Resident 2 to address that Resident 2 was immunocompromised being diagnosed with diffuse large B-cell lymphoma.

The DON stated it was the responsibility of licensed staff or the MDS Coordinator to initiate the Care Plan when Resident 2 was admitted to facility.

The DON stated Resident 2's Care Plan should have addressed that Resident 2 could not be cohorted (grouping residents together based on their infection status to prevent the spread of illness to healthy residents) with a resident who had an active infection.

The DON stated the Care Plan was a guide to implement the necessary interventions for Resident 2.

The DON stated Resident 2's Care Plan was not comprehensive and person centered.

The DON stated the failure to develop a comprehensive Care Plan that addressed Resident 2's immunocompromised status placed Resident 2 at risk of acquiring infection, which had the potential to lead to sepsis and other complications such as death.

During a review of the facility-provided policy and procedure (P&P) titled, Care plans, Comprehensive Person-Centered, last revised on 8/15/2025, the P&P indicated, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical and functional needs is developed and implemented for each resident. 3.

The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment.7.

The comprehensive, person-centered care plan: .b. describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being e. reflects currently recognized standards of practice for problem areas and conditions.

056129 01/31/2026

Burbank Healthcare & Rehab 1041 S.

Main St.

Burbank, CA 91506

During a review of the facility-provided policy and procedure (P&P) titled, Care plans, Comprehensive Person-Centered, last revised on 8/15/2025, the P&P indicated, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical and functional needs is developed and implemented for each resident. 3.

The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment.7.

The comprehensive, person-centered care plan: .b. describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being e. reflects currently recognized standards of practice for problem areas and conditions.11.

Assessments of residents are ongoing and care plans are revised as information about the residents and the resident's conditions change.

056129 01/31/2026

Burbank Healthcare & Rehab 1041 S.

Main St.

Burbank, CA 91506

situations when a resident is experiencing . diarrhea, . even before a specific organism has been

jeopardy to resident health or room is not available, the infection preventionist will assess various risks associated with other safety resident placement options (e.g., cohorting, placing with a low risk roommate).

Staff and visitors wear gloves (clean, non-sterile) when entering the room.

Staff and visitors wear a disposable gown upon

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 BURBANK, 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 BURBANK HEALTHCARE & REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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