The Pavilion At Sunny Hills
THE PAVILION AT SUNNY HILLS in FULLERTON, CA — inspection on May 26, 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
morning, the resident appeared upset and reported her head hurt because CNA 5 had transferred her
transfers. On 5/26/26 at 1348 hours, an interview and concurrent closed medical record review was
after reviewing Resident 5's MAR for May 2026, LVN 2 acknowledged the notification occurred on 5/5/26. LVN 2 stated the SSD came to her before CNA 1 and informed her Resident 5 reported an incident and stated she had hit her head on the headboard. LVN2 stated she assessed the resident and found no injury.
When asked about documentation and notification, LVN 2 stated she completed a paper body check but did not document elsewhere because there was no injury, and did not need to notify the resident's physician. On 5/26/26 at 1354 hours, an interview and concurrent closed medical record review was conducted with the DON.
The DON stated if a resident reported hitting their head on the headboard during a transfer and continued to experience pain the next day, the licensed nurse should notify the physician and perform neurological checks.
The DON initially stated this did not apply because the resident was discharged when the facility became aware of the incident.
However, upon being informed the resident reported the incident on 5/5/26, while still in the facility, the DON stated that the nurse should have notified the physician and monitored the resident for possible injury.
The DON verified Resident 5's medical record failed to show documentation of the resident reporting the incident, physician notification or , continued monitoring. On 5/26/26 at 1400 hours, an interview was conducted with the SSD.
The SSD stated on 5/5/26, after Resident 5's care conference, the resident asked if he could stay behind, and reported CNA 5 transferred her without assistance and that she almost hit her head on the headboard.
555733 05/26/2026
The Pavilion at Sunny Hills 2222 N.
Harbor Blvd.
Fullerton, CA 92835
sampled residents (Resident 7). *
The facility failed to ensure Resident 7's floor mat was stored
surface of the mat touching the bed linen.
This failure placed the risk for contamination of Resident 7's bedding and the potential spread of microorganisms, increasing the risk of infection.Findings: Medical record review for Resident 7 was initiated on 5/26/27. Resident 7 was admitted to the facility on [DATE]. On 5/26/26 at 1030 hours, an observation and concurrent interview was conducted with CNAs 2 and 3. CNAs 2 and 3 were observed using a mechanical lift to transfer Resident 7 from his bed to a wheelchair. Resident 7 was observed lying in his bed. A floormat was observed propped up lengthwise against the left side of Resident 7's bed and the upper grab bar, with the upper portion of the floormat touching the resident's bedding. A photograph was taken documenting the floormat's placement. CNA 2 stated he had moved Resident 7's the floormat off the floor and leaned it against the resident's bed to make while performing the mechanical lift to transfer Resident 7. CNA 2 verified the floor and items placed on the floor are considered contaminated and acknowledged he should have placed the floormat against the wall instead of the resident's bed. On 5/26/26 at 1333 hours, an interview was conducted with the DON.
The DON stated any items on the floor were considered dirty.
The DON stated the floormat should not have been leaned along Resident 7's bed and acknowledged the issue as an infection control concern.
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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.