Studebaker Healthcare Center
STUDEBAKER HEALTHCARE CENTER in NORWALK, CA — inspection on April 27, 2026.
Found 1 citation. 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
stated for his post fall Care Plans there were no interventions addressing his confusion which led to
physician orders addressing Resident 2's confusion to prevent falls when he was admitted [DATE]
on readmission on [DATE] should have been addressed right away to prevent his falls.
The DON stated the discussion the IDT had on 2/13/2026 to implement the tab alarm and bilateral floor mattresses for Resident 2 was an oversight that these interventions were not ordered until 2/16/2026 and not put on the post fall Care Plans.During a review of facility's policy and procedure (P&P) titled Care Planning, dated 10/2023, the P&P indicated the purpose of the policy was to ensure that a comprehensive person-centered Care Plan is developed for each resident based on their individual needs.
The P&P indicated the comprehensive Care Plan will include measurable objectives and timetables to meet a resident's medical, nursing, mental, and psychosocial needs.
The P&P indicated the Comprehensive Care Plan will describe any services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being.During a review of facility's P&P titled Fall Risk Evaluation, dated 2/24/2026, the P&P indicated the purpose of the P&P was to maintain an environment as free of accident hazards as is possible and provide adequate supervision and assistance to prevent accidents.
The P&P indicated the facility assesses residents upon admission, quarterly, after a fall occurrence, with a change of condition and as needed for their risk of falling.
The P&P indicated the facility uses this information to develop both a person-centered care plan and facility-wide fall prevention measures.
The P&P indicated based on the initial evaluation, the IDT will identify and implement appropriate interventions to reduce the risk of falls, and the care plan will be updated to address new risk factors or modify interventions that have not been effective.
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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.