South Coast Post Acute
Inspection Findings
F-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
monitoring and contracted for safety. Resident 3 was given first aid. Medical record review for Resident 3 was initiated on 9/23/25. Resident 3 was admitted to the facility on [DATE REDACTED], and readmitted on [DATE REDACTED].
Review of Resident 3's MDS assessment dated [DATE REDACTED], 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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If continuation sheet
SOUTH COAST POST ACUTE in SANTA ANA, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 SOUTH COAST POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.