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.
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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.