Sea Cliff Healthcare Center
SEA CLIFF HEALTHCARE CENTER in HUNTINGTON BEACH, CA — inspection on October 22, 2025.
Found 3 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 H&P examination dated [DATE], showed Resident 4 had capacity to understand and make decisions.
Review of Resident 4's admission MDS assessment dated [DATE], showed Resident 4's BIMS score was three, indicating severe cognitive impairment.
Review of Resident 4's eInteract Change in Condition Evaluation dated [DATE] at 1030 hours, showed the resident was observed to have coughed after the first sip of water when the whole medication tablet was administered.
The medications were then crushed.
Review of Resident 4's plan of care failed to show the care plan problem addressing the resident's swallowing problem was reviewed and revised to reflect the resident's change in the condition on [DATE], when the resident had difficulty swallowing the medication and coughing with the sips of water. On [DATE] at 1430 hours, an interview and concurrent closed medical record review was conducted with the DON.
The DON verified the above findings and stated Resident 4's care plan should have been revised.
Cross reference to F-F684.
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
10/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Sea Cliff Healthcare Center
18811 Florida St Huntington Beach, CA 92648
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility's P&P titled Physician Orders revised 5/2007 showed the drugs and biologicals that are required to be refilled must be reordered from the issuing pharmacy not less than three (3) days prior to the last dosage being administered to assure that refills are on hand.
Review of Resident 4's Order Summary Report dated [DATE], showed a physician's order dated [DATE], to administer warfarin sodium 3 mg one tablet by mouth in the evening.
Review of Resident 4's MAR for [DATE] showed the warfarin sodium 3 mg tablet by mouth in the evening was initialed by LVN 4 with the chart code 7, indicating other/ see nurses notes.
Review of Resident 4's nursing progress notes dated [DATE] at 1800 hours, showed the licensed nurse would follow up with pharmacy for warfarin medication. On [DATE] at 1030 hours, a telephone interview was conducted with LVN 4. LVN 4 verified she was not able to administer the warfarin sodium 3 mg medication on [DATE] at 1700 hours, as ordered because the medication was not available. LVN 4 stated the pharmacy was asking for the recent laboratory results, however, LVN 4 stated there was no recent laboratory results available for Resident 4. LVN 4 further stated she was going to follow up with the pharmacy and the physician, however she got busy with another resident's emergency. On [DATE] at 1430 hours, an interview and a concurrent closed medical record review was conducted with the DON.
The DON verified the warfarin sodium 3 mg medication was not administered to Resident 4 on [DATE] at 1700 hours, as ordered by the physician.
The DON stated the pharmacist was responsible to dose the warfarin sodium medication.
The DON verified Resident 4's closed medical record failed to show a physician's order to obtain the prothrombin time (a blood test that measures the time it takes for blood plasma to clot) and the International Normalized Ratio (INR- a blood test to monitor the residents taking anticoagulant medications).
The DON stated there should have been a physician's order for the next laboratory blood draw for the pharmacy to send the warfarin sodium tablets. On [DATE] at 1520 hours, a follow-up interview was conducted with the DON.
The DON was informed and acknowledged the findings as above.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Sea Cliff Healthcare Center
18811 Florida St Huntington Beach, CA 92648
SUMMARY STATEMENT OF DEFICIENCIES
According to National Library of Medicine Daily Med:- Iron tablets are enteric coated (coating applied to oral medications to prevent the medications from dissolving in the highly acidic stomach environment) and should not be chewed or crushed.
Iron tablets are enteric coated to help protect the stomach.
Iron may cause gastrointestinal discomfort, nausea, constipation or diarrhea.
Tamsulosin hydrochloride (used to treat enlarged prostate) capsules should not be crushed, chewed or opened.
The capsules contain a special modified-release formulation, typically sustained-release beads, that controls how the medicine is absorbed by your body.
Opening the capsule can disrupt this mechanism and potentially cause serious side effects.
Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.
Closed medical record review for Resident 4 was initiated on [DATE]. Resident 4 was admitted to the facility on [DATE], and expired on [DATE].
Review of Resident 4's H&P examination dated [DATE], showed the resident had capacity to understand and make decisions.
Review of Resident 4's admission MDS assessment dated [DATE], showed Resident 4's BIMS score was three, indicating severe cognitive impairment.
Review of Resident 4's eInteract Change in Condition Evaluation dated [DATE] at 1030 hours, showed the resident was observed to have coughed after the first sip of water when the whole medication tablet was administered.
The medications were then crushed.
Review of Resident 4's Order Summary Report dated [DATE], showed the following physician's orders:- dated [DATE], to administer iron 25 mg one tablet by mouth one time a day; and- dated [DATE], to administer tamsulosin hydrochloride 0.4 mg one capsule by mouth every 12 hours.
Review of Resident 4's MAR for [DATE] showed the iron 25 mg and tamsulosin hydrochloride 0.4 mg medications were administered to Resident 4 on [DATE] at 0900 hours.
On [DATE] at 1020 hours, a telephone interview was conducted with LVN 4. LVN 4 stated Resident 4 started coughing when she first administered the whole pill on the morning of [DATE]. LVN 4 further stated the resident started chocking with the water. LVN 4 stated she then crushed all the resident's medications to be able to administer them to the resident. On [DATE] at 1520 hours, an interview was conducted with the DON.
The DON was informed and acknowledged the above findings.
Facility ID: