Community Care On Palm
COMMUNITY CARE ON PALM in RIVERSIDE, CA — inspection on November 25, 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
hospital/rehabilitation stay; and at least quarterly .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Community Care on Palm
4768 Palm Avenue Riverside, CA 92501
SUMMARY STATEMENT OF DEFICIENCIES
admitted to the facility on [DATE], with diagnosis including Chronic Respiratory Failure with Hypoxia (low oxygen in the blood)A physician order dated April 4,2025, indicated to administer, .Budenoside Inhalation suspension (breathing treatment medication) 0.5 MG (milligrams- unit of measurement)/2ML (milliliters unit of measurement) 1 mg inhale two times a day related to for Chronic Obstructive Pulmonary Disease with Exacerbation (a long-term lung disease that makes it hard to breath, with a recent flare-up/worsening episode) .
The electronic Medication Administration Record (eMAR) dated November 25, 2025 indicated LVN 2 administered the medication Budenoside at 8:00 a.m. On November 25,2025 at 9:30 a.m., an interview was conducted with the Director of Nursing (DON) The DON stated the licensed nurse should have removed Resident 2's nebulizer face mask once the medication was completed and monitored the resident during and after the treatment for any signs of difficulty breathing, anxiety, or distress.
The DON stated this practice was required to ensure resident safety during breathing treatments.The facility's policy and procedure titled, Administering Medications Through a Small Volume Nebulizer, dated October 2010 was reviewed.
The policy indicated, .The purpose of this procedure is to safely and aseptically (free from contamination) administer aerosolized particles of medication into the resident's airway .
General guidelines are to follow the medication administration guidelines in the policy entitled Administering Medications .Steps in the Procedure .Assemble nebulizer equipment and attach to the source of gas per manufacture's instructions .Turn off the nebulizer and check the outflow port for visible mist .Instruct the resident to take a deep breath, pause briefly and then exhale normally .Encourage the resident to repeat the above breathing pattern until the medication is completely nebulized, or until the designated time of treatment has been reached .Remain with the resident for the treatment .Monitor for medication side effects, including rapid pulse, restlessness and nervousness throughout the treatment .Encourage the resident to cough and expectorate as needed .Administer therapy until it is gone .When treatment is complete, turn off nebulizer and disconnect T-piece, mouthpiece and medication cup .Obtain post-treatment pulse, respiratory rate and lung sounds .
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.