New Orange Hills
NEW ORANGE HILLS in ORANGE, CA — inspection on November 26, 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 6's Order Summary Report showed a physician's order dated 3/4/24, for Accucheck one time daily in the morning AC.
Review of Resident 6's MDS assessment dated [DATE], showed Resident 6 was cognitively intact.
Review of Resident 6's MARs from October to November 2025 failed to show glucose monitoring was completed on 10/28, 11/14, 11/19, and 11/22/25. On 11/25/25 at 1427 hours, an interview and concurrent medical record review was conducted with RN 2. RN 2 verified Resident 6's glucose monitoring was not completed on 10/28, 11/14, 11/19, and 11/22/25. RN 2 stated the licensed nurse should have charted the reason why Resident 6's glucose monitoring was not done so whatever happens to the resident, it was documented. On 11/25/25 at 1540 hours, an interview and concurrent medical record review was conducted with the DON.
The DON acknowledged the above findings.
The DON stated if Resident 6 refused, the licensed nurse should have put refused or document in the progress notes.
The DON stated it was important to check the blood sugar to ensure the blood sugar was within normal limits and the resident was not having symptoms of hypoglycemia or hyperglycemia.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
New Orange Hills
5017 E.
Chapman Avenue Orange, CA 92869
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility's P&P titled Documentation (undated) showed the resident's record is a concise and accurate account of treatment, care, response to care, signs, symptoms and progress of the resident's condition.
Closed medical record review for Resident 4 was initiated on 11/19/25. Resident 4 was admitted to the facility on [DATE], and discharged on 11/14/25.
Review of Resident 4's LTC admission H&P examination dated 11/7/25, showed the resident had no decision making capacity.
Review of Resident 4's SBAR Communication Form dated 11/12/25, showed the resident had a fall and no changes were observed.
However, review of Resident 4's Fall Risk Evaluation dated 11/12/25, showed the resident had no falls in the past three months. On 11/25/25 at 1410 hours, an interview and concurrent closed medical record review was conducted with RN 2. RN 2 verified Resident 4 fell on [DATE], and the Fall Risk Evaluation dated 11/12/25 showed Resident 4 had no falls in the past three months. RN 2 stated the licensed nurse who did Resident 4's Fall Risk Evaluation did not include the current fall. RN 2 stated the licensed nurse should have chosen one to two falls in the past three months because Resident 4 fell. On 11/25/25 at 1525 hours, an interview and concurrent closed medical record review was conducted with the DON.
The DON verified Resident 4's Fall Risk Evaluation was inaccurate.
The DON acknowledged Resident 4 had a fall on 11/12/25, and the Fall Risk Evaluation showed no falls in the past three months.
The DON stated the licensed nurse did not count the present fall and should have included the fall as part of the history of fall.
Facility ID:
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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.