South Coast Post Acute
SOUTH COAST POST ACUTE in SANTA ANA, CA — inspection on September 24, 2025.
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
Review of Resident 3's MDS assessment dated [DATE], showed Resident 3 was cognitively intact.
Review of Resident 3's Behavior Progress Note dated 9/12/25 at 2145 hours, showed Resident 3 was in the patio waiting for dinner at approximately 1740 hours on 9/12/25. Resident 4 approached Resident 3 and struck her at the back of her neck.
The facility staff immediately intervened and separated the two residents. Resident 4 was escorted to the quiet room and Resident 3 was assessed for pain and injuries.
Further review of Resident 3's medical record and investigation report failed to show documented evidence other residents who possibly witnessed the incident were interviewed. On 9/23/25 at 1039 hours, an interview was conducted with Resident 5. Resident 5 stated she saw Resident 4 behind Resident 3. Resident 5 further stated Resident 4 smacked his hand on the back of the head of Resident 3. Resident 5 stated Resident 4 took off immediately after the incident. On 9/24/25 at 1550 hours, an interview and concurrent medical record and facility document review was conducted with the DON.
The DON verified the other residents who were in the patio waiting for dinner on the time of Resident 3's alleged abuse were not interviewed.
The DON stated the facility staff did not interview other residents because Resident 3's alleged abuse was witnessed by the two facility staff. On 9/24/25 at 1645 hours, the Administrator and DON were informed and acknowledged the above findings.
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