New Orange Hills
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
hours, an interview and concurrent closed medical record review was conducted with the DON. The DON acknowledged the above findings. The DON stated the licensed nurse should have clarified to Resident 4's physician with regards to diabetic medication and blood sugar monitoring. The DON stated the resident needed monitoring to make sure that the current treatment is effective. 2. Medical record review for Resident 6 was initiated on 11/19/25. Resident 6 was admitted to the facility on [DATE REDACTED], and readmitted on [DATE REDACTED]. 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 REDACTED], 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.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/26/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
New Orange Hills
5017 E. Chapman Avenue Orange, CA 92869
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
F 0842 Level of Harm - Potential for minimal harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, medical record review, and facility P&P review, the facility failed to ensure the medical record was accurate for one of ten sampled residents (Resident 4). * The facility failed to ensure Resident 4's Fall Risk Evaluation was accurate. This failure posed the risk for Resident 4 not to receive the accurate and necessary care.Findings: Review of the facility's P&P titled Falls Prevention revised February 2023 showed
a post fall assessment including the rehabilitation department staff designee and care plan changes will be completed for all residents who have experienced a fall. 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 REDACTED], 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 REDACTED], 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.
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NEW ORANGE HILLS in ORANGE, 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 ORANGE, 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 NEW ORANGE HILLS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.