Garden Grove Post Acute
GARDEN GROVE POST ACUTE in GARDEN GROVE, CA — inspection on August 28, 2025.
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.
Inspection Findings
Review of Resident 4's MDS Quarterly assessment dated [DATE], showed the resident had clear speech. Resident 4 could sometimes make themselves understood and sometimes was able to understand others. Resident 4 had a limitation in the range of motion to both upper extremities.
Review of Resident 4's H&P examination dated 6/8/25, showed the resident could make their needs known but could not make medical decisions.
Review of Resident 4's care plan dated 6/27/25, showed the resident had an actual fall with approaches/ intervention to place call light within reach. On 8/26/25 at 1400 hours, during an observation, Resident 4 was lying in bed.
The call light was clipped at the right corner of the mattress by the head of the bed, and the call light cord was dangling off the resident's bed.
The resident's call light was not within reach. On 8/26/25 at 1550 hours, during an observation, Resident 4 was lying in bed.
The call light was still clipped at the right corner of the mattress by the head of the bed, and was not within the resident's reach. On 8/26/25 at 1554 hours, an observation of Resident 4 and concurrent interview was conducted with CNA 6. CNA 6 verified the resident's call light was not within reach for the resident to use and was clipped by Resident 4's right corner of the mattress by the head of the bed. CNA 6 stated Resident 4 had the ability to use call light when needing assistance. CNA 6 repositioned the call light within Resident 4's reach. On 8/26/25 at 1645 hours, an interview was conducted with the DON.
The DON stated she expected the staff to make sure the resident's call lights were always within the resident's reach at all times.
Cross reference F-F689.
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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Garden Grove Post Acute
12882 Shackelford Lane Garden Grove, CA 92841
SUMMARY STATEMENT OF DEFICIENCIES
resident was not compliant therefore the split was not provided. On 8/27/25 at 1446 hours, an interview was conducted with LVN 1. LVN 1 stated resident had episodes of removing the splint. LVN 1 further stated she and the treatment nurse had just applied the splint to the resident few minutes ago. On 8/28/25 at 1445 hours, an interview was conducted with the DON.
The DON was informed and acknowledged the findings.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Garden Grove Post Acute
12882 Shackelford Lane Garden Grove, CA 92841
SUMMARY STATEMENT OF DEFICIENCIES
she informed LVN 3 of the incident. On 8/27/25 at 1140 hours, an interview and a concurrent medical record review was conducted with the DON.
The DON stated the floor mattress sed to prevent injury.
The DON further stated a resident who was found on the floor mattress is considered a fall incident and the Fall policy should be followed.
The DON stated she did not know Resident 4 was found on the floor mattress by the SSD on 8/6/25.
The DON verified Resident 4's medical record failed to show an assessment of the resident was conducted, and the physician and the family member were notified of the resident's fall on 8/6/25. On 8/27/25 at 1516 hours, an interview was conducted with LVN 3. LVN 3 verified the SSD informed him of Resident 4 was found on the floor mattress on 8/6/25. LVN 3 stated he did not thought of it as a fall because resident was found on the floor mattress. LVN 3 stated he did not initiate to call the physician and the resident's family member. On 8/28/25 at 1445 hours, an interview was conducted with the DON.
The DON was informed and acknowledged the findings as above.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Garden Grove Post Acute
12882 Shackelford Lane Garden Grove, CA 92841
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited GARDEN GROVE POST ACUTE in GARDEN GROVE, CA for a deficiency under regulatory tag F-F0693 during a complaint investigation conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of GARDEN GROVE POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-15.