Community Care And Rehabilitation Center
COMMUNITY CARE AND REHABILITATION CENTER in RIVERSIDE, CA — inspection on August 28, 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
April 2, 2025.
The RN stated that when a resident was high risk for falls, the resident should been seen frequently to ensure safety.
She also stated a care plan for fall should be developed and interventions should be followed.
The RN stated Resident 1's care plan indicated she should have been seen every one hour for increased supervision. On August 27, 2025, at 8:33 a.m., a concurrent interview and record review was conducted with the Licensed Vocational Nurse (LVN).
The LVN stated she worked the night of April 3, 2025, and was assigned to Resident 1.
The LVN stated a CNA reported to her Resident 1 was on the floor.
The LVN could not recall who the CNA was that reported to her.
The LVN stated if the resident was a fall risk, the resident should have been checked frequently.
The LVN stated Resident 1's care plan indicated Q1 hour monitoring for supervision.
The LVN stated she did not have the time to do frequent visual checks on Resident 1. On August 28, 2025, at 1:45 p.m., during an interview with the Director of Nursing (DON), he stated when a resident was a fall risk, frequent visual checks should have been done. A review of the facility policy and procedure titled Fall Prevention Program, revised December 28, 2023, indicated, .Each resident will be assessed for fall risk and will receive care and services in accordance with their individualized level of risk to minimize the likelihood of falls.A fall is an event in which an individual unintentionally comes to rest on the ground, floor, or other level.The event may be.presumed when a resident is found on the floor or ground.Upon admission, the nurse will complete a fall risk assessment along with the admission assessment to determine the resident's level of fall risk.The nurse and/or interdisciplinary team will initiate interventions on the resident's care plan, in accordance with the resident's level of risk.At Risk Protocols.Provide additional interventions as directed by the resident's assessment, including but not limited to.Increased frequency of rounds.Sitter, if indicated.
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