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Complaint Investigation

Rio Hondo Subacute & Nursing Center

August 2, 2024 · Montebello, CA · 273 E Beverly Boulevard
Citations 2
Beds 200
Provider ID 056487
Healthcare Facility
Rio Hondo Subacute & Nursing Center
Montebello, CA  ·  View full profile →
Inspection Summary

RIO HONDO SUBACUTE & NURSING CENTER in MONTEBELLO, CA — inspection on August 2, 2024.

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.

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Inspection Findings

FF755
Minimal harm or 7/31/2024 was reviewed, that indicated one nurse initialed for the removal of the fentanyl patch. DON stated Few Consultant. DON stated, This was not happening. DON stated that the Pharmacist Consultant did not notice affected

During a review of Resident 2 ' s History and Physical (H&P), dated 7/29/2024, the H&P indicated, Resident 2 had the mental capacity to understand and make medical decisions.

During a review of the Minimum Data Set (MDS - a comprehensive resident assessment and care screening tool) dated 07/11/2024, indicated the resident's cognitive skills (ability to understand and make decisions) were intact (not affected).

The MDS indicated Resident 2 required setup or clean-up assistance for eating, required partial or moderate staff assistance with oral hygiene and personal hygiene, and substantial or total dependence on staff assistance for toileting, bathing, dressing.

During a review of Resident 2's Order Listing Report indicated the following physician orders on 7/28/23 for Resident 2:

- fentanyl Transdermal Patch 72 Hour 25 micrograms (mcg unit of measure) per hour (HR), instructions indicated, apply one patch transdermally every 72 hours for chronic pain management rotate site every application administration

- check placement of fentanyl patch every 72 hours

- fentanyl patch removal and destruction verified by second nurse every 72 hours

056487

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 056487 B.

Wing 08/02/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Rio Hondo Subacute & Nursing Center 273 E Beverly Boulevard Montebello, CA 90640

During a review of Resident 2's History and Physical (H&P), dated 7/29/2024, the H&P indicated, Resident 2 had the mental capacity to understand and make medical decisions.

During a review of the Minimum Data Set (MDS - a comprehensive resident assessment and care screening tool) dated 07/11/2024, indicated the resident's cognitive skills (ability to understand and make decisions) were intact (not affected).

The MDS indicated Resident 2 required setup or clean-up assistance for eating, required partial or moderate staff assistance with oral hygiene and personal hygiene, and substantial or total dependence on staff assistance for toileting, bathing, dressing.

During a review of Resident 2's Order Summary Report with active orders as of 7/31/2024, included, but not limited to the following physician orders dated 7/28/23 for Resident 2:

1.

Fentanyl Transdermal Patch 72 Hour 25 micrograms (mcg unit of measure) per hour (HR), instructions indicated to Apply 1 patch transdermally every 72 hours

056487

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 056487 B.

Wing 08/02/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Rio Hondo Subacute & Nursing Center 273 E Beverly Boulevard Montebello, CA 90640

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 MONTEBELLO, 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 RIO HONDO SUBACUTE & NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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