Southern Inyo Hospital D/p Snf
Southern Inyo Hospital D/p Snf in Lone Pine, CA — inspection on April 29, 2026.
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
facility's P&P titled, Smoking Safety Policy, dated November 13, 2025, was reviewed.
The P&P
any smoking supplies in their personal possession.
Smoking materials will be stored securely by
and return them to storage immediately after.
The DON stated that the policy was not followed and should have been.
The DON stated it is important to follow the policy to ensure that the residents do not burn themselves.
555527 04/29/2026
Southern Inyo Hospital D/P Snf 501 E Locust St.
Lone Pine, CA 93545
During an interview on April 27, 2026, at 8:23 AM, with Licensed Vocational Nurse 1 (LVN 1), LVN 1 stated there are times when an RN is not available. LVN 1 further stated there are about two or three full-time RN staff available overall in the facility.
During an interview on April 28, 2026, at 1:33 PM, with the Director of Staff Development (DSD), the DSD stated the facility does not consecutively have a registered nurse scheduled for eight consecutive hours a day, seven days a week.
The DSD further stated there are currently total of three full-time registered nurses, but they are not always available on the weekends, so there would be some weekends where the facility would not have an RN for 24 hours.
During a concurrent interview and record review on April 28, 2026, at 1:38 PM, with the DSD, the facility's [name] Skilled Nursing-Per Patient Day, dated August 7, 2025, through August 31, 2025, were reviewed.
There were no RNs listed for the following dates: On August 7, 2025On August 10, 2025On August 11, 2025On August 23, 2025On August 24, 2025On August 30, 2025On August 31, 2025 The DSD confirmed that the facility did not schedule an RN seven days a week from August 7, 2025, through August 31, 2025.
During an interview on April 29, 2026, at 3:59 PM, with the Director of Nursing (DON), the DON stated the facility has had difficulty with finding RN coverage consistently as required by the federal regulations.
The DON stated the facility did not have a policy addressing RN staffing.
The DON further stated it was important to have an RN oversight in order to ensure quality patient care and safety.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
555527 04/29/2026
Southern Inyo Hospital D/P Snf 501 E Locust St.
Lone Pine, CA 93545
During a medication administration observation on April 27, 2026, at 10:11 AM, with the Director of Nurse (DON) in Resident 28's room, The DON was observed with one (1) gram (GM-unit of dosing medication) Rocephin in 100 milliliters (ml-unit of measurement) bag of normal saline (NS-salt water as the diluting solution).
The DON was noted to attach Rocephin bag to Resident 28's IV access and set up the delivery rate at 200 ml per hour (30 minutes delivery time).
During a concurrent interview and record review on April 28, 2026, at 2:40 PM, with the DON, Resident's 28's Orders, dated April 28, 2026, to May 1, 2026, were reviewed.
The Orders indicated, CefTRIAXone Sodium Intravenous Solution reconstituted 1 GM. use 1 gram intravenously one time a day related to chronic kidney disease [kidney slowly losing the ability to clean the blood over time] . for 3 days.
The DON stated, typically any antibiotic that is given to the resident's is sent by [pharmacy company], however the pharmacy had not sent over the antibiotic yet, which is why she pulled the medication out of the Antibiotic Emergency Kit (EKIT- a sealed box with medications that are used for emergencies and contains antibiotics).
The DON verified and confirmed that the order did not indicate the exact delivery method between IVP and IVPB, and there was no specific diluting agent to use.
During a concurrent interview and record review on April 28, 2026, at 3:55 PM, with the DON, the facility's policy and procedures (P&P) titled, IV Therapy- Single/Piggyback/push, dated December 12, 2012, was reviewed.
The P&P indicated, procedure:.Ensure that a physician's order for IV medication or solution, including medication name, classification, dosage, route, and frequency, is in the patient's medical record.verify the rate of infusion and/or length of time needed for infusion.recheck medication for the patient's name and medical record number, dosage, route, strength, time and method of administration with Electronic Medication Administration Record (eMAR) and physician's medication order.
The DON stated that the policy was not followed for IV medication delivery method and diluting agent.
The DON further stated it is important to follow the policy to ensure the residents receive the proper method of administration for the residents' comorbidities (multiple medical conditions that affect patient's health and treatment).
During an interview on April 28, 2026, at 10:54 AM, with the IP, the IP stated the last in-service (training) provided to the staff for EBP was in 2024, however, most of the employees that received the training are no longer working at the facility.
The IP stated that EBP is important to prevent transmission and spread of infection amongst residents.
A follow-up interview on April 28, 2026, at 10:56 AM, with the IP, the IP stated no residents were on EBP, however, Resident 3, 4 and 28 should have been because those residents had indwelling catheters.
During an interview on April 28, 2026, at 3:48 PM, with the DON, the DON stated that the facility does not have an EBP policy.
The DON added it is important to follow EBP in residents with indwelling devices as it is a portal for infection and the nursing staff should prevent the spread of infection in residents.
During a concurrent interview and record review on April 29, 2026, at 8:51 AM, with the IP, the facility's P&P titled, Infection Prevention and Control Plan dated December 2024, was reviewed.
The P&P indicated, .the goal of the Infection Prevention and Control Plan include: .limited the transmission of infections. ensuring policies and procedures follow current infection control guidelines and recommendations.the development, review and revision of organizational infection prevention and control policies and procedures.staff competency, i.e., infection control processes.
The IP stated that the policy was not followed.
The IP stated the facility has not developed a policy for EBP and should have to prevent the spread of MDROs.
555527 04/29/2026
Southern Inyo Hospital D/P Snf 501 E Locust St.
Lone Pine, CA 93545
Frequently Asked Questions
More Reports
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.