Huntington Valley Healthcare Center
HUNTINGTON VALLEY HEALTHCARE CENTER in HUNTINGTON BEACH, CA — inspection on September 18, 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
evidence to show the IV peripheral was inserted and the IVF was administered as ordered by the physician.
On 9/18/25 at 1630 hours, an observation and concurrent interview was conducted with RN 2.
When asked to show documented evidence the normal saline IVF was removed from the facility's IV E-kit and administered to Resident 1 on 9/5/15, RN 2 stated she had to check the facility's medication rooms for the record. RN 2 stated the facility had two nursing stations and the protocol for removing medications from the E-kit would be to complete a form and place the copy of the completed form in the E-kit and another copy would be kept at the facility.
After observations of both nursing stations were conducted with RN 2, RN 2 verified there was no documented evidence a form was completed to show the normal saline IVF was removed from the E-kit on 9/5/25 for Resident 1. On 9/18/25 at 1712 hours, an interview was conducted with the Administrator and DON.
The Administrator and DON were informed and acknowledged the above findings. On 9/19/25 at 1219 hours, a telephone interview was conducted with the IV Department Supervisor at Pharmacy A stated there was no documented evidence a form was completed by the facility staff to show the normal saline IVF was removed from the facility's IV E-kit for Resident 1 on 9/5/25.
The IV Department Supervisor at Pharmacy A stated the process when the facility staff removed an IV medication from the IV E-kit would be to complete the form. A copy of the complete form would be kept in the E-kit and another copy would stay in the facility.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Huntington Valley Healthcare Center
8382 Newman Avenue Huntington Beach, CA 92647
SUMMARY STATEMENT OF DEFICIENCIES
Review of Resident 2's H&P examination dated [DATE], showed Resident 2 had no capacity to understand and make decisions.
Review of Resident 2's Nursing Self-Administration of Mediation Observation dated [DATE], showed Resident 2 did not want to self-administer medications.
Review of Resident 2's Order Summary Report dated [DATE], showed no physician's order for the diclofenac sodium 1% topical gel (pain medication).
Further review of Resident 2's medical record failed to show documentation Resident 2 could store the diclofenac medication at the bedside. On [DATE] at 0945 hours, an observation, interview, and concurrent medical record review was conducted with RN 1. RN 1 verified the above findings. RN 1 reviewed Resident 2's medical record and verified there was no physician's order or care plan allowing the resident to store the medications at the bedside. RN 1 verified Resident 2's Self-Administration of Medication assessment dated [DATE], showed the resident did not want to self-administer the medications. RN 1 stated the resident's family member may have brought in the medication and the facility would contact the family. RN 1 further stated the medication needed a physician's order prior to administering the medication and should not be left unattended at the resident's bedside because the facility staff would not be able to assess for proper administration of the medication by the resident. On [DATE] at 1029 hours, an interview with Resident 2 was conducted with RN 1 and CNA 4 present. Resident 1 requested CNA 4 to translate in Vietnamese. Resident 2 stated the diclofenac medication was provided by her family.
When Resident 2 was asked when the diclofenac medication was brought in by her family, Resident 2 stated she did not recall. On [DATE] at 1135 hours, an interview was conducted with the DON.
The DON stated the medications could be left at the resident's bedside if there was a physician's order, care plan, and an evaluation to self-administration the medications.
The DON stated the other residents or facility staff could use the medication not intended for their use, if the medication was left unattended at the resident's bedside. On [DATE] at 1712 hours, an interview was conducted with the Administrator and DON.
The Administrator and DON were informed and acknowledged the above findings.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Huntington Valley Healthcare Center
8382 Newman Avenue Huntington Beach, CA 92647
SUMMARY STATEMENT OF DEFICIENCIES
laboratory orders, the facility needed to also call the laboratory company to inform them of the stat laboratory order.
When asked if the laboratory received a stat order for Resident 1, the Hospital Lab Assistant stated they did not and stated the last blood work was completed on 8/22/25. On 9/18/25 at 1515 hours, an interview and concurrent medical record review was conducted with LVN 4. LVN 4 verified he received the physician's orders for Resident 1's stat CBC and CMP on 9/5/25 at 1315 hours. LVN 4 verified the laboratory portal did not show the stat laboratory results for Resident 1.
When asked if he saw the laboratory technician arrive after the stat laboratory was ordered, LVN 4 stated he did not see the laboratory technician prior to the end of his shift on 9/5/25. On 9/18/25 at 1712 hours, an interview was conducted with the Administrator and DON.
The Administrator and DON were informed and acknowledged the above findings.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Huntington Valley Healthcare Center
8382 Newman Avenue Huntington Beach, CA 92647
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility's P&P titled Catheter Care, Urinary revised 5/2024 showed the purpose of this procedure is to prevent urinary catheter-associated complications, including urinary tract infections.
The P&P further showed information should be recorded in the resident's medical record including character of urine such as color (straw-colored, dark, or red), clarity (cloudy, solid particles, or blood), and odor.
Medical record review for Resident 1 was initiated on 9/3/25. Resident 1 was admitted to the facility on [DATE].
Review of Resident 1's Order Summary Report showed a physician's order dated 8/13/25, for Resident 1's Foley catheter size16 Fr 10 ml and to change as needed.
Review of Resident 1's TAR for August 2025 showed a physician's order dated 8/14/25, for the indwelling urinary catheter and to monitor for change in the urine character.
However, the TAR was blank on 8/15/25 for the evening shift and 8/22/25 for the night shift. On 9/18/25 at 1400 hours, an interview and concurrent medical record review was conducted with LVN 3. LVN 3 verified the above findings. LVN 3 stated when the TAR was left blank, it meant it was not documented. LVN 3 stated the monitoring for the change in the urine character should have been documented if it was completed. On 9/18/25 at 1532 hours, an interview and concurrent medical record review was conducted with LVN 5. LVN 5 verified the above findings. LVN 5 stated the licensed nurse might have monitored for the resident's urine characteristics for the evening shift on 8/15/25, and on the night shift on 8/22/25, but might have forgotten to document on the resident's TAR. LVN 5 stated it should have been documented if it the monitoring was done as ordered. On 9/18/25 at 1712 hours, an interview was conducted with the Administrator and DON.
The DON stated she expected the licensed nurses to follow the physician's orders.
The Administrator and DON were informed and acknowledged the above findings.
Facility ID: