Citrus Post-acute
Citrus Post-Acute in SANTA ANA, CA — inspection on August 22, 2024.
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
Review of the facility's P&P titled Unavailable Medications dated 5/2022 showed the medications used by the residents in the nursing facility may be unavailable for dispensing from the pharmacy on occasion.
The nursing staff shall notify the attending physician of the situation and explain the circumstances, expected availability and optional therapy that is available.
Medical record review for Resident 1 was initiated on 8/19/24. Resident 1 was admitted to the facility on [DATE].
Review of Resident 1's Order Summary Report showed the physician's orders for the following medications:
* enoxaparin sodium 120 mg/0.8 ml subcutaneous injection every 12 hours for DVT prophylaxis, dated 7/3/24.
* levetiracetam 1000 mg orally twice a day for seizures, dated 7/3/24.
* desmopressin acetate 20 mcg nasal solution twice per day for central cranial diabetes insipidus dated 7/4/24.
* methocarbamol 250 mg orally three times a day for muscle spasm, dated 7/3/24.
Review of Resident 1's Medication Administration Record dated July 2024 showed documentation the following medications were not administered on the following dates and times due to a lack of availability:
555093
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555093 B.
Wing 08/22/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
St Edna Subacute and Rehabilitation Center 1929 N.
Fairview Street Santa Ana, CA 92706
Review of the facility's P&P titled Change of Condition dated 2016 showed the purpose of the Change of Condition policy is to appropriately assess, document, and communicate changes of condition to the primary care provider. To provide treatment and services to address changes in accordance with resident needs.
Procedure includes to document assessment findings and communications as soon as practical. To notify the resident and/or responsible party of current status and subsequent actions/orders.
1.
Medical record review for Resident 1 was initiated on 8/19/24. Resident 1 was admitted to the facility on [DATE], and transferred to the acute care hospital on 7/7/24.
Review of Resident 1's medical record showed Resident 1 was admitted to the facility with a PICC located on his right upper arm.
Review of Resident 1's H&P examination dated 7/3/24, showed Resident 1 had a right upper arm PICC with slight swelling.
Review of Resident 1's care plan problem titled Potential for Infection related to right upper extremity PICC line initiated 7/5/24, showed Resident 1 would have no signs and symptoms of IV related complications.
The interventions included to change the catheter site dressing and to measure the PICC external catheter length and upper arm circumference as ordered.
555093
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555093 B.
Wing 08/22/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
St Edna Subacute and Rehabilitation Center 1929 N.
Fairview Street Santa Ana, CA 92706