Laguna Hills Health And Rehabilitation Center
Inspection Findings
F-Tag F0550
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-08-25.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0554
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0554 during a standard health inspection conducted on 2025-08-25.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0558
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0558 during a standard health inspection conducted on 2025-08-25.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0578
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-08-25.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0583
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-08-25.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0585
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0585 during a standard health inspection conducted on 2025-08-25.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0605
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-08-25.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
interview and concurrent facility document review was conducted with the DON. The DON stated Resident 170 alleged Resident 73 was hit on the arm by a white female staff member during care, on 8/10/25 at approximately 0530 hours. The DON stated the facility conducted an investigation specific to Resident 170's allegation and was unable to substantiate Resident 73 was abused. Review of the facility's investigation was conducted with the DON. The facility's investigation failed to show documentation an interview was conducted with the RN (RN 7) assigned to care for Resident 73, at the time of the allegation. The investigation also failed to show documentation an interview was conducted with a CNA (CNA 17), who was assigned to the station (Station B), in which Resident 73 resided at the time of the allegation. Further
review of the facility's investigative findings failed to show interviews were conducted with other residents who resided in Station B, who may have potentially been victims of facility staff to resident abuse. The DON verified the findings. The DON verified there was no documentation contained within the facility's investigation to show RN 7 and CNA 17 were interviewed. The DON stated the facility failed to interview the other residents who resided in Station B, who may have potentially been victims of staff to resident abuse.
The DON stated these interviews should have been conducted in accordance with the facility's practice and P&P for abuse. On 8/20/25 at 1520 hours, an interview and concurrent facility document review was conducted with the facility's Abuse Coordinator, the Administrator. The Administrator verified the findings and stated in accordance with the facility's P&P for abuse, the other residents who resided in Station B should have been interviewed during the course of the facility's investigation. The Administrator also stated RN 7 and CNA 17 should have been interviewed during the course of the facility's investigation, specific to Resident 170's allegation.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Laguna Hills Health and Rehabilitation Center
24452 Health Center Drive Laguna Hills, CA 92653
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0645
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-08-25.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0656
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-25.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0657
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-25.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0684
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-25.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0686
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-08-25.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0688
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0688 during a standard health inspection conducted on 2025-08-25.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0689
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-25.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level E: pattern, 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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0695
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-25.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0698
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2025-08-25.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0700
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2025-08-25.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0755
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-25.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0757
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-08-25.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0761
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-25.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0808
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0808 during a standard health inspection conducted on 2025-08-25.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0812
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-25.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, 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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0814
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2025-08-25.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Dispose of garbage and refuse properly.
Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0838
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0838 during a standard health inspection conducted on 2025-08-25.
Category: Administration Deficiencies
The facility was found deficient in the following area: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0842
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-08-25.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
urinary catheter with soap and water. After LVN 5 was done with the urinary catheter care, LVN 5 attempted to cover Resident 37 with the used diaper. LVN 5 did not apply a new diaper. LVN 5 verified the diaper had pinkish-colored drainage. LVN 5 then asked the CNA to assist her to change Resident 37’s diaper.
On 8/21/25 at 1022 hours, an interview was conducted with LVN 5. LVN 5 stated she did not notice the pinkish-colored drainage on the diaper, and she should have checked prior to attempting to reapply the used diaper. LVN 5 stated she should have used a new diaper to prevent any contamination.
On 8/25/25 at 0958 hours, an interview was conducted with the IP. The IP stated for the residents who wear
a diaper, the licensed staff cleaning the urinary catheter should check the diaper before reapplying to see if
the diaper was clean or if there was any drainage observed. The IP stated if drainage was observed on the diaper, a new diaper should be used to prevent any contamination.
On 8/25/25 at 1044 hours, an interview was conducted with the Administrator and DON. The Administrator and DON were informed and acknowledged the above findings.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Laguna Hills Health and Rehabilitation Center
24452 Health Center Drive Laguna Hills, CA 92653
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0881
F 0881 Level of Harm - Minimal harm or potential for actual harm
appropriate antibiotic use, and to reduce unnecessary treatments. When the IP was asked to provide the surveillance logs for January, February, March, and April 2025 which included the antibiotic use in the facility, the IP stated she had asked the DON and other staff, however, they were unable to locate the surveillance logs for those months. The IP further stated the previous IP did not provide her with any documentation. The current IP began documenting antibiotic use and infections as of 5/16/25.
Residents Affected - Few
In addition, the IP was asked whether Residents 190 and 191’s physicians were informed about the residents who received antibiotics when the residents did not meet the McGeer’s Criteria for true infection. The IP stated the licensed nurses should have informed the physician in such cases, however, the IP was unable to locate any documentation to confirm the information provided. The IP was also asked whether the physicians were informed about the urine culture results for Residents 28 and 37, and whether there was any follow-up about repeat urine culture for Resident 28 and awaiting UA results for Resident 37.
The IP stated the licensed nurses should have informed and followed up with the physician, however, the IP was not able to find documentation the physicians were notified. The IP verified the findings.
On 08/21/25 at 1100 hours, an interview was conducted with the DON. The DON stated she was unable to locate the antibiotic line listings or infection surveillance logs for January through April 2025. The DON verified the findings.
On 08/25/25 at 1000 hours, an interview was conducted with the Administrator and DON. The Administrator and DON were informed of the above findings.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
F-Tag F0909
Federal health inspectors cited LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA for a deficiency under regulatory tag F-F0909 during a standard health inspection conducted on 2025-08-25.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
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 29 deficiencies cited during this inspection of LAGUNA HILLS HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-25.
LAGUNA HILLS HEALTH AND REHABILITATION CENTER in LAGUNA HILLS, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 LAGUNA HILLS, 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 LAGUNA HILLS HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.