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Health Inspection

The Pavilion At Sunny Hills

April 28, 2025 · Fullerton, CA · 2222 N. Harbor Blvd.
Citations 2
CMS Rating 2/5
Beds 300
Provider ID 555733
Healthcare Facility
The Pavilion At Sunny Hills
Fullerton, CA  ·  View full profile →
Inspection Summary

THE PAVILION AT SUNNY HILLS in FULLERTON, CA — inspection on April 28, 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.

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Inspection Findings

FF656
Minimal harm or Few Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure affected

Review of Resident 80's Admission Body Check dated 3/12/25, showed the resident had a RUA PICC line with two lumens (channels or tubes inside the PICC line).

Review of Resident 80's H&P examination dated 3/13/25, showed Resident 80 had the capacity to understand and make decisions.

Review of Resident 80's plan of care showed a care plan problem dated 3/21/25, addressing the resident's RUA PICC line.

The interventions included to measure the IV lines on admission and after dressing change, and the arm circumference three inches above the insertion site every seven days during the day shift (0700 to 1500 hours).

555733

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 555733 B.

Wing 04/28/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Pavilion at Sunny Hills 2222 N.

Harbor Blvd.

Fullerton, CA 92835

Review of Resident 80's H&P examination dated 3/13/25, showed Resident 80 had the capacity to understand and make decisions.

Review of Resident 80's plan of care showed a care plan problem dated 3/21/25, addressing Resident 80's RUA PICC line use.

555733

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 555733 B.

Wing 04/28/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Pavilion at Sunny Hills 2222 N.

Harbor Blvd.

Fullerton, CA 92835

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 FULLERTON, 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 THE PAVILION AT SUNNY HILLS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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