Santa Clarita Post-acute Care Center
SANTA CLARITA POST-ACUTE CARE CENTER in NEWHALL, CA — inspection on February 14, 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
During a review of Resident 37's History and Physical (H&P), dated 12/18/2024, the H&P indicated the resident had periods of confusion and can make needs known but cannot make medical decisions.
During a review of Resident 37's Minimum Data Set (MDS, a resident assessment tool), dated 11/29/2024, the MDS indicated the resident had the ability to make self-understood and understand others and had moderate cognitive impairment (a stage of dementia where a person has clear signs of memory loss and difficulty completing tasks).
The MDS indicated the resident was on a high-risk drug class antibiotic.
During a review of Resident 37's Order Summary Report, dated 9/1/2023, the Order Summary Report indicated an order of methenamine hippurate oral tablet 1 gram (gm, a unit of weight).
Give 1 tablet by mouth two times a day for UTI prophylaxis.
The order summary did not indicate any monitoring for signs and symptoms of UTI.
During a concurrent interview and record review on 2/12/2025 at 11 p.m., with the Infection Preventionist (IP), the IP stated methenamine hippurate oral tablet is not an antibiotic.
The IP stated the medication was antibacterial (a substance that kills bacteria or stops them from growing and causing disease).
The IP stated they did not do any monitoring for signs and symptoms of UTI and there was no end date on the use of this antibiotic as it was antibacterial.
055728
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 055728 B.
Wing 02/14/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Santa Clarita Post-Acute Care Center 23801 Newhall Avenue Newhall, CA 91321
During a review of Resident 37's History and Physical (H&P), dated 12/18/2024, the H&P indicated the resident had periods of confusion and can make needs known but cannot make medical decisions.
During a review of Resident 37's Minimum Data Set (MDS, a resident assessment tool), dated 11/29/2024, the MDS indicated the resident had the ability to make self-understood and understand others and had moderate cognitive impairment (a stage of dementia where a person has clear signs of memory loss and difficulty completing tasks).
The MDS indicated the resident was on a high-risk drug class antibiotic.
During a review of Resident 37's Order Summary Report, dated 9/1/2023, the Order Summary Report indicated an order of methenamine hippurate oral tablet 1gram (gm, a unit of weight).
Give 1 tablet by mouth two times a day for UTI prophylaxis.
The order summary did not indicate any monitoring for signs and symptoms of UTI.
055728
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 055728 B.
Wing 02/14/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Santa Clarita Post-Acute Care Center 23801 Newhall Avenue Newhall, CA 91321
During a review of Resident 73's Admission Record, the Admission Record indicated the facility originally admitted the resident on 11/23/2023 and readmitted the resident in the facility on 8/14/2024, with diagnoses including type 2 diabetes mellitus (a chronic disease that occurs when the body does not produce enough insulin or does not use it properly) without complications, congestive heart failure (CHF-a heart disorder which causes the heart to not pump the blood efficiently, sometimes resulting in leg swelling), and unsteadiness on feet.
During a re view of Resident 73's History and Physical (H&P) dated 5/22/2024, the H&P indicated the resident had the capacity to understand and make decisions.
During a review of Resident 73's Minimum Data Set (MDS, a resident assessment tool), dated 11/28/2024, the MDS indicated the resident had an intact cognition (having the ability to think, learn, and remember clearly).
The MDS indicated Resident 73 required set up or clean-up assistance with eating and oral hygiene; partial/moderate assistance with upper body dressing; substantial/maximal assistance with personal hygiene and bed mobility; total assistance with all other activities of daily living (ADLs - basic tasks that must be accomplished every day for an individual to thrive).
The MDS indicated Resident 73 had a diagnosis of DM 2 and received insulin.
During a review of Resident 73's Order Summary Report, the Order Summary Report indicated the following physician's orders:
055728
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 055728 B.
Wing 02/14/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Santa Clarita Post-Acute Care Center 23801 Newhall Avenue Newhall, CA 91321