Katherine Healthcare
KATHERINE HEALTHCARE in SALINAS, CA — inspection on March 27, 2026.
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
rights include the resident's right to be free from.misappropriation of property.
Review of the facility's
property.
055311 03/27/2026
Katherine Healthcare 315 Alameda Avenue Salinas, CA 93901
services of a licensed pharmacist.
three residents (Resident 1) when there was no accurate accountability of the controlled medication
milligram (mg, unit of measurement) tablet.This failure resulted in Resident 1 not receiving two doses of the controlled medication.Findings:
During an interview with Registered Nurse (RN) A, on 12/2/25 at 1:30 p.m., RN A stated he was counting the narcotics (used to treat moderate to severe pain) in the Station 2 medication cart with the night shift nurse (RN B) on 11/30/25. RN A stated he could not find a bubble pack containing the medication named Lorazepam (a controlled medication used to treat severe anxiety) 0.5 milligrams (mg, unit of measurement) for Resident 1. RN A stated three medication carts and 48 resident rooms were checked but were not able to find the medication. RN A called the pharmacy on 11/30/25 for a replacement of the medication.
Per RN A pharmacy stated refill of the medication was too early and will need authorization from the Director of Nursing (DON). RN A stated the replacement medication was received on 12/2/25. RN A confirmed Resident 1 missed two doses of the medication Lorazepam tablet 0.5 mg give 1 tablet on 11/30/25 and 12/1/25 at 9 a.m.Review of Resident 1's physician's order, dated 9/24/25, indicated lorazepam oral tablet 0.5 mg give 1 tablet by mouth (taken orally) one time a day for anxiety (feeling of fear, worry or uneasiness) as evidenced by repetitive questions/verbalizations.Review of Resident 1's Medication Administration Record (MAR, a record of prescribed medications) indicated lorazepam was documented as not administered on 11/30/25 and 12/1/25.During a concurrent interview and record review with the DON, on 12/2/25 at 12:50 p.m., the DON confirmed Resident 1's Lorazepam medication was missing during RN B's night shift on 11/29/25.
The DON confirmed that Resident 1 missed the dose of the medication on 11/30/25 and 12/1/25 at 9 a.m.During a concurrent observation and interview with the DON on 12/2/25 at 3:05 p.m., the DON confirmed there were no lorazepam in the five E-kits (Emergency Kits, a kit/box containing medications and supplies for immediate use during a medical emergency).
Review of the facility's policy and procedure (P&P), titled Controlled Substances, dated 4/19, indicated The facility complies with all laws, regulations, and other requirements related to handling, storage, disposal, and documentation of controlled medications.