Norwalk Skilled Nursing & Wellness Centre, Llc
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review, the facility failed to administer intravenous fluids (IVF - fluids administered through the vein) as ordered by the physician for one of one sampled resident (Resident 1).
This failure had the potential to result in Resident 1 experiencing hypovolemic shock (not enough blood in
the body to support organ function) and decreased urine output. Findings: During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was initially admitted to the facility on [DATE REDACTED] and readmitted on [DATE REDACTED] with diagnoses including fracture of left tibia (long bone in the lower leg) and acute (sudden onset) kidney failure. During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 11/26/2025, the MDS indicated Resident 1 had severe cognitive (ability to learn, reason, remember, understand, and make decisions) impairment, required setup assistance when eating, and was dependent for oral hygiene, toileting hygiene, bathing, and upper and lower body dressing.
During an observation on 12/23/2025 at 12:24 p.m., Resident 1 was observed receiving IVF 0.45% Sodium Chloride (fluid administered for hydration) at a rate of 50 milliliters (mL - a unit of measurement)/hour.
During a concurrent observation and interview on 12/23/2025 at 12:38 p.m., the Director of Nursing (DON) was observed changing the IVF rate from 50 mL/hour to 100 mL/hour. During a concurrent interview and
record review on 12/23/2025 at 2:36 p.m., with Registered Nurse (RN) 1, Resident 1's physician's orders were reviewed. Resident 1's orders indicated to start Resident 1 on Intravenous Fluid (IVF) 0.45% Normal Saline at 100 mL/ hour for 24 hours for hydration to start on 12/23/2025. RN 1 stated the IVF were initially administered at a rate of 50 mL/hour, but the order stated to administer the IVF at 100mL/hour. During an
interview on 12/23/2025 at 3:30 p.m., with the DON, the DON stated it was important that facility staff administered medications according to the physician's order or it could negatively affect Resident 1. The DON stated the IVF for Resident 1 was incorrectly running at a rate of 50 mL/hour. The DON stated she corrected the IVF rate to 100ml/hour. During a review of the facility's policy and procedure (P&P), titled Medication Administration, dated January 2012, the P&P indicated to ensure the accurate administration of medications for residents in the facility, medications and treatments will be administered as prescribed to ensure compliance with dose guidelines.
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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC in NORWALK, 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 NORWALK, 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 NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.