Mission Care Center
MISSION CARE CENTER in RIVERSIDE, CA — inspection on February 26, 2026.
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
Resident 4's oncology appointment, he went to the ER for further evaluation of his neck wounds
administer treatment as needed. RN 1 stated she was informed that Resident 4 would be discharged
Resident 4's wounds were still odorous upon returning to facility from the ER. RN 1 stated Resident 4 only wanted the treatment nurse to change his wound dressings. RN 1 stated the resident's care plans should be updated after a change of condition is identified. On February 4, 2026, at 12:54 p.m., an interview was conducted with RN 2. RN 2 stated after a change of condition, the nursing staff will document a daily progress note, every shift to monitor the resident's condition and status related to the change of condition findings. RN 2 stated the care plans should be updated as well.On February 4, 2026, at 4:33 p.m., a concurrent interview and record review was conducted with the Director of Nursing (DON).
The DON stated after a change of condition the nursing staff should monitor the resident for 72 hours and document in a progress note.
The DON stated care plans should be updated if the change of condition is new.
The DON stated the 72 hour monitoring process was not followed.A review of the facility's policy and procedure titled, Change in a Resident's Condition or Status, dated January 2012, indicated, .the nurse supervisor/charge nurse.will record.resident's medical record.information relative to changes .medical/mental condition or status. and .assessment related to the change in condition.will be documented . 72 hours.A review of the facility's policy and procedure titled, Documentation of Wound Treatments, dated September 2, 2022, indicated, .the following elements are documented as part of a complete wound assessment.color of wound bed.condition of peri-wound skin.presence, amount and characteristics of wound drainage.presence or absence of odor.A review of the facility's policy and procedure titled, Provision of Quality Care, dated December 19, 2022, indicated, .a comprehensive care plan.will be developed.for each resident.in accordance with.procedures for development.care plan.A review of the facility's policy and procedure titled, Skin Assessment, dated December 19, 2022, indicated, .documentation of skin assessment.document observations.type of wound.describe wound (measurements, color, drainage, odor) .