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Complaint Investigation

Plaza Healthcare Center

May 29, 2026 · Santa Ana, CA · 1209 Hemlock Way
Citations 1
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 May 29, 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

FF0552
Resident Rights Deficiencies

Review of Resident 4's H&P examination dated 2/2/26, showed the resident had the mental

(clozapine).

Give one tablet by mouth at bedtime for schizophrenia manifested by angry outburst as

Music/TV, 2.

Redirect/divert, 3.

Call family/responsible party, 4.

Toilet, 5. 1:1 Conversation, 6.

Reassure/orient, 7.

Assess pain/infection, 8.

Offer drink/snack, 9.

Quiet environment, 10.

Walk/wheel resident, 11.

Activity/exercise, 12.

Massage/back rub; - dated 1/30/26, to administer Clozaril oral tablet 25 mg (clozapine).

Give three tablets by mouth one time a day for schizophrenia manifested by angry outburst as exhibited by yelling/screaming for no apparent reason.

Nonpharmacological interventions: 1.

Music/TV, 2.

Redirect/divert, 3.

Call family/responsible party, 4.

Toilet, 5. 1:1 Conversation, 6.

Reassure/orient, 7.

Assess pain/infection, 8.

Offer drink/snack, 9.

Quiet environment, 10.

Walk/wheel resident, 11.

Activity/exercise, 12.

Massage/back rub; and - dated 1/30/26, to administer Depakote (mood stabilizer medication) oral tablet delayed release (divalproex sodium).

Give 750 mg by mouth two times a day for mood stabilizer as exhibited by from being calm to sudden irritability.

Nonpharmacological interventions: 1.

Music/TV, 2.

Redirect/divert, 3.

Call family/responsible party, 4.

Toilet, 5. 1:1 Conversation, 6.

Reassure/orient, 7.

Assess pain/infection,

  • Offer drink/snack, 9.

Quiet environment, 10.

Walk/wheel resident, 11.

Activity/exercise, 12. Massage/back rub.

Further review of Resident 1's medical record failed to show documented evidence of informed consent for Resident 1's Clozaril and Depakote medications. On 5/29/26 at 1257 hours, an interview and concurrent medical record review for Resident 4 was conducted with RN 4.

RN 4 verified Resident 4 had no informed consent for the Clozaril and Depakote medications ordered on 1/30/26. RN 4 stated the licensed nurse should have checked the files to make sure the resident had the updated informed consent. On 5/29/26 at 1527 hours, an interview was conducted with the DON.

The DON was informed and acknowledged the above findings.

The DON stated in January 2026 the facility decided to renew all the psychotropic informed consents every six months, specifically in February and September, to make tracking the renewal dates easier.

The DON stated the facility renewed all the residents' informed consents in February 2026 and acknowledged the informed consents for Residents 1 and 4 were missed.

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.


More Reports

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.