Complaint Investigation

Bonita Hills Post Acute

October 22, 2025 · La Habra, CA · 1233 West La Habra Boulevard

Citations 2

CMS Rating 3/5

Beds 86

Provider ID 055622

Healthcare Facility

Bonita Hills Post Acute

La Habra, CA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

BONITA HILLS POST ACUTE in LA HABRA, CA — inspection on October 22, 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.

Inspection Findings

FF0684

Quality of Life and Care Deficiencies

Potential for More Than Minimal Harm

Review of Resident 1's progress note dated [DATE], showed a nursing entry regarding Resident 1's dark colored urine output.

However, further review of Resident 1's medical record failed to show if Resident 1's physician was notified when Resident 1 had dark colored urine output. On [DATE] at 1445 hours, an interview and concurrent closed medical record review was conducted with LVN 1. LVN 1 stated at the beginning of her shift on [DATE], she assessed Resident 1's urine color, which was yellow and clear.

However, at the end of the shift LVN 1 observed Resident 1 had dark amber colored urine. LVN 1 stated she documented her observation on the resident's progress notes but did not report the resident's change in condition to the physician. LVN 1 stated she should have reported the change in the color of the urine of the resident to Resident 1's physician. LVN 1 verified there was no documentation to show Resident 1's physician was notified of Resident 1's dark amber colored urine. On [DATE] at 0937 hours, an interview was conducted with the PA .

The PA was asked if he was notified of Resident 1's dark colored urine on [DATE].

The PA stated he could not recall if he was notified or not.

The PA stated if he was notified then it would be documented in the Resident 1's medical record. On [DATE] at 1530 hours, an interview and concurrent closed medical record review for Resident 1 was conducted with the DON.

The DON verified there was no documented evidence to show Resident 1's physician was notified about the resident's dark colored urine on [DATE].

The DON was informed and verified the above findings.

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:

Building

COMPLETED

10/22/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Bonita Hills Post Acute

1233 West LA Habra Boulevard LA Habra, CA 90631

SUMMARY STATEMENT OF DEFICIENCIES

FF0755

Pharmacy Service Deficiencies

Potential for Minimal Harm

Review of Resident 1's Order Summary Report dated [DATE], showed a physician's order dated [DATE], to administer acetaminophen (Tylenol-medication to treat pain and/or fever) 325 mg two tablets via GT every six hours as needed for fever, if the temperature was greater than 100.5 Fahrenheit. On [DATE] at 1445 hours, an interview and concurrent closed medical record review for Resident 1 was conducted with LVN 1. LVN 1 verified Resident 1 was administered two tablets of Tylenol 325 mg medication on [DATE], for a temperature of 99 degrees Fahrenheit. On [DATE] at 1257 hours, an interview and concurrent closed medical record for Resident 1 was conducted with the QA Nurse.

The QA Nurse was informed and verified LVN 1 failed to follow the physician's order when LVN 1 administered two tablets of the Tylenol medication to Resident 1 for a temperature of 99 degrees Fahrenheit. On [DATE] at 1530 hours, an interview was conducted the DON.

The DON was informed and acknowledged the above findings.

Facility ID:

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 LA HABRA, 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 BONITA HILLS POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

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.