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Complaint Investigation

Plaza Healthcare Center

April 24, 2026 · Santa Ana, CA · 1209 Hemlock Way
Citations 2
CMS Rating 1/5
Beds 145
Provider ID 055206
Healthcare Facility
Plaza Healthcare Center
Santa Ana, CA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

PLAZA HEALTHCARE CENTER in SANTA ANA, CA — inspection on April 24, 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

in front of Room B and singing a song before the incident happened. Resident 4 stated the man

Momma is one. Resident 4 stated the man got mad and hit her right foot with his fist two times.

mad and hit her left leg. Resident 4 stated she had a small cut and a scratch on her right foot. Resident 4 stated her wound has been healed for a while. On 4/24/26 at 0950 hours, an interview was conducted with LVN 2. LVN 2 stated, I assessed Resident 4 after the alleged abuse incident happened. LVN 2 stated Resident 4 had two small scratches on her foot. LVN 2 stated Resident 4's wounds were superficial scratches with very minimal bleeding. On 4/24/26 at 1636 hours, a telephone interview was conducted with CNA 3.

When CNA 3 was asked if Resident 5 punched Resident 4's right foot twice, CNA stated yes. On 4/24/26 at 1651 hours, an interview was conducted with the Administrator and DON.

The Administrator and DON were informed and acknowledged the above findings.

The DON stated Resident 5 had a long history of mental illness which included schizophrenia and dementia.

The DON stated prior to Resident 5's event with Resident 4, they never had unusual interaction including any type of verbal and physical altercation.

The DON stated before that event, Resident 5 was not manifesting any kind of unusual behavior.

The DON further stated Resident 5 was immediately placed on one-on-one supervision and was transferred to a psychiatric acute care hospital.

The DON stated on transfer, Resident 5 denied hitting Resident 4.

The DON stated Resident 5 was laughing for no reason and talking loudly to himself.

055206 04/24/2026

Plaza Healthcare Center 1209 Hemlock Way Santa Ana, CA 92707

Review of the facility's P&P titled P-AN01 Abuse Prevention and Management revised 5/30/24, under Notification of Outside Agencies for All Allegations of Abuse section showed the Administrator or designated representative will notify law enforcement, by telephone immediately, or as soon as practicably possible, but no longer than two hours of an initial report and send a written SOC 341 report to the ombudsman, law enforcement, and CDPH Licensing and Certification within two hours.

Medical record review for Resident 4 was initiated on 4/23/26. Resident 4 was admitted to the facility on [DATE].

Review of the facility's SOC 341 dated 4/17/26, showed a staff responded to a loud verbal discussion between the residents each in wheelchair outside of Room A hallway. As the staff was in the process to intervene, Resident 5 was observed reaching forward from wheelchair extending left arm and struck Resident 4 on right lower leg.

The staff immediately separated both residents.

Further review of the facility's SOC 341 dated 4/17/26, showed the facility faxed the SOC 341 form to CDPH, L&C Program's telephone number instead of CDPH, L&C Program's fax number. On 4/24/26 at 1447 hours, an interview and concurrent facility document review was conducted with the Administrator.

The Administrator verified the SOC 341 form was faxed to CDPH, L&C Program's phone number instead of CDPH, L&C Program's fax number.

The Administrator stated the fax result showed success and it was an honest mistake.

The Administrator stated the staff should have double checked the fax number. On 2/24/26 at 1651 hours, an interview was conducted with the Administrator and DON.

The Administrator and DON were informed and acknowledged the above findings.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SANTA ANA, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PLAZA HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.