New Orange Hills
NEW ORANGE HILLS in ORANGE, CA — inspection on September 18, 2025.
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
Review of Resident 2's H&P examination dated 11/14/24, showed Resident 2 had the capacity to understand and make decisions. Resident 2's diagnoses included End Stage Renal Disease (ESRD) on hemodialysis, high blood pressure, and history of diabetes.
Review of Resident 2's Order Summary Report showed the following physician's orders:- dated 11/9/24, for amlodipine (blood pressure medication) 10 mg daily for hypertension, with instructions to hold if Resident 2's systolic blood pressure was less than 110 mmHg; and- dated 2/1/25, no blood pressure readings to be obtained from Resident 2's hemodialysis access site on the left arm.
Review of Resident 2's Physician Progress Note dated 9/9/25, showed Resident 2's plan of treatment included the monitoring of Resident's 2 blood pressure for his high blood pressure diagnosis. On 9/18/25 at 1530 hours, concurrent interview and medical record review was conducted with LVN 1 and the DON.
When asked what machine was used to obtain Resident 2's blood pressure readings, LVN 1 stated she used a wrist blood pressure machine.
When asked which arm LVN 1 used to obtain the blood pressure readings, LVN 1 stated Resident 2 would offer the arm where he wanted to have his blood pressure readings done.
The DON stated the nurses were to use the facility's blood pressure machines, not a wrist blood pressure machine.
The DON also stated the nurses should check the orders to ensure the blood pressures were obtained as ordered by the physician.
The DON and LVN 1 verified Resident 2 had an order to not have his blood pressure obtained from Resident 2's left arm hemodialysis access site.
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.
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