Mainplace Post Acute
MAINPLACE POST ACUTE in ORANGE, CA — inspection on December 1, 2025.
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.
Inspection Findings
Review of Resident 1's Shower Sheets for October and November 2025 showed the resident had refused showers on the following dates: - on 10//9/25- on 10/13/25- on 10/23/25; and - on 11/6/25.
Additionally, there were missing shower sheets for the dates of 10/30, 11/3, 11/10, 11/13, 11/17, 11/20, and 11/24/25.
The IP reviewed Resident shower schedule and stated Resident 1's shower was scheduled every Monday and Thursday during the pm shift.
The IP verified the above findings.
The IP stated the medical record staff and DSD should have followed up Resident 1's missing shower sheets.
The IP stated the shower sheets served as a communication for any significant changes with resident's refusal of showers and skin condition and must be accurately completed to reflect the resident's plan of care. On 12/1/25 at 1153 hours, a telephone interview was conducted with LVN 1. LVN 1 stated Resident 1 had refused showers for the past three months. LVN 1 verified he did not document the refusals in Resident 1's progress notes, and verified there was no care plan for the refusal. LVN 1 stated care plan was important because it is a guide for the resident's care while in the facility. On 12/1/25 at 1257 hours, an interview was conducted with the DON.
The DON stated if a resident refused showers, the CNAs could offer and provide full body bath or bed bath.
The DON clarified the sponge bath was not an equivalent or replacement to a shower and full body or bed bath.
The DON was informed and acknowledged the above findings.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/01/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Mainplace Post Acute
1835 West LA Veta Avenue Orange, CA 92868
SUMMARY STATEMENT OF DEFICIENCIES
Resident 1's order for miconazole nitrate from the physician on 11/18/25, however, he failed to complete a change of condition assessment and monitoring documentation. LVN 1 stated accurate and timely assessment and documentation are important to show resident's condition or problems are monitored by licensed staff, interventions were implemented, and medical records were updated. On 12/1/25 at 1257 hours, an interview was conducted with the DON.
The DON was informed and acknowledged the above findings.
Facility ID: