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St Edna Subacute And Rehabilitation Center

📍 1929 N. Fairview Street, Santa-ana, CA 92706 📞 (714) 554-9700 🛏️ 144 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

May 13, 2025 Health Inspection

Fines and Penalties by Year

2023 1 penalties totaling $5,000

$5,000
Jan 9, 2023

Fine

2020 1 penalties totaling $5,330

$5,330
Jul 15, 2020

Fine

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Health Violations by Year

2025 27 violations

Tag 0578 D May 13, 2025

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jun 6, 2025
Tag 0584 D May 13, 2025

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jun 6, 2025
Tag 0600 D May 13, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 12, 2025
Tag 0605 D May 13, 2025

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

✓ Corrected: Jun 12, 2025
Tag 0641 B May 13, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 12, 2025
Tag 0644 B May 13, 2025

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Jun 6, 2025
Tag 0645 B May 13, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Jun 6, 2025
Tag 0656 B May 13, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 6, 2025
Tag 0684 D May 13, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 6, 2025
Tag 0692 D May 13, 2025

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jun 6, 2025
Tag 0695 D May 13, 2025

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 6, 2025
Tag 0697 D May 13, 2025

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jun 6, 2025
Tag 0755 D May 13, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jun 6, 2025
Tag 0756 D May 13, 2025

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jun 6, 2025
Tag 0757 D May 13, 2025

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Jun 6, 2025
Tag 0759 D May 13, 2025

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 6, 2025
Tag 0761 E May 13, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jun 6, 2025
Tag 0803 D May 13, 2025

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Jun 6, 2025
Tag 0804 D May 13, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jun 6, 2025
Tag 0808 B May 13, 2025

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Jun 6, 2025

2024 42 violations

Tag 0656 D Aug 22, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 14, 2024
Tag 0694 D Aug 22, 2024

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Sep 14, 2024
Tag 0760 D Aug 22, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 14, 2024
Tag 0880 E Jul 30, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 10, 2024
Tag 0552 D Jun 21, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jul 21, 2024
Tag 0554 D Jun 21, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Jul 21, 2024
Tag 0558 D Jun 21, 2024

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jul 21, 2024
Tag 0578 D Jun 21, 2024

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jul 21, 2024
Tag 0657 B Jun 21, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jul 21, 2024
Tag 0684 D Jun 21, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 21, 2024
Tag 0689 D Jun 21, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 21, 2024
Tag 0692 D Jun 21, 2024

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jul 21, 2024
Tag 0694 D Jun 21, 2024

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Jul 21, 2024
Tag 0695 D Jun 21, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jul 21, 2024
Tag 0755 D Jun 21, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jul 21, 2024
Tag 0757 D Jun 21, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Jul 21, 2024
Tag 0758 D Jun 21, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jul 21, 2024
Tag 0759 D Jun 21, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jul 21, 2024
Tag 0761 D Jun 21, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jul 21, 2024
Tag 0801 D Jun 21, 2024

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Jul 21, 2024
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2023 11 violations

Tag 0689 D Nov 20, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 21, 2023
Tag 0580 D Apr 27, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: May 12, 2023
Tag 0686 D Mar 21, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 18, 2023
Tag 0755 D Mar 21, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 18, 2023
Tag 0554 D Feb 2, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Mar 2, 2023
Tag 0880 E Feb 2, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 2, 2023
Tag 0883 D Feb 2, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Mar 2, 2023
Tag 0885 E Feb 2, 2023

Report COVID19 data to residents and families.

✓ Corrected: Mar 2, 2023
Tag 0887 D Feb 2, 2023

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

✓ Corrected: Mar 2, 2023
Tag 0880 D Jan 9, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 26, 2023
Tag 0886 E Jan 9, 2023

Perform COVID19 testing on residents and staff.

✓ Corrected: Jan 26, 2023

2022 17 violations

Tag 0607 D Oct 18, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Oct 27, 2022
Tag 0684 D Sep 21, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 12, 2022
Tag 0908 E Jul 5, 2022

Keep all essential equipment working safely.

✓ Corrected: Jul 13, 2022
Tag 0609 D Mar 24, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 14, 2022
Tag 0554 D Jan 12, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Feb 7, 2022
Tag 0656 D Jan 12, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 7, 2022
Tag 0657 D Jan 12, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 7, 2022
Tag 0684 D Jan 12, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 7, 2022
Tag 0695 D Jan 12, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 7, 2022
Tag 0755 D Jan 12, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 7, 2022
Tag 0759 D Jan 12, 2022

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Feb 7, 2022
Tag 0761 D Jan 12, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Feb 7, 2022
Tag 0805 D Jan 12, 2022

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Feb 7, 2022
Tag 0812 E Jan 12, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 7, 2022
Tag 0814 B Jan 12, 2022

Dispose of garbage and refuse properly.

✓ Corrected: Feb 7, 2022
Tag 0880 E Jan 12, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 7, 2022
Tag 0921 D Jan 12, 2022

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Feb 7, 2022
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2021 3 violations

Tag 0810 D Jul 12, 2021

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

✓ Corrected: Jul 26, 2021
Tag 0584 D Jun 30, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jul 16, 2021
Tag 0656 D Jun 16, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 8, 2021

2020 2 violations

Tag 0880 D Oct 1, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 20, 2020
Tag 0684 D Jul 15, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 27, 2020
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2019 19 violations

Tag 0568 D Dec 16, 2019

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

✓ Corrected: Jan 9, 2020
Tag 0550 D Oct 22, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Nov 13, 2019
Tag 0558 D Oct 22, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Nov 13, 2019
Tag 0559 D Oct 22, 2019

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Nov 13, 2019
Tag 0656 B Oct 22, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 13, 2019
Tag 0684 D Oct 22, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 13, 2019
Tag 0686 D Oct 22, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Nov 13, 2019
Tag 0689 D Oct 22, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 13, 2019
Tag 0690 D Oct 22, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Nov 13, 2019
Tag 0692 D Oct 22, 2019

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Nov 13, 2019
Tag 0695 D Oct 22, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Nov 13, 2019
Tag 0759 E Oct 22, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Nov 13, 2019
Tag 0761 D Oct 22, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Nov 13, 2019
Tag 0808 D Oct 22, 2019

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Nov 13, 2019
Tag 0812 E Oct 22, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 13, 2019
Tag 0842 D Oct 22, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Nov 13, 2019
Tag 0865 D Oct 22, 2019

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Nov 13, 2019
Tag 0880 E Oct 22, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 13, 2019
Tag 0881 D Oct 22, 2019

Implement a program that monitors antibiotic use.

✓ Corrected: Nov 13, 2019

2018 41 violations

Tag 0550 B Dec 17, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jan 7, 2019
Tag 0558 D Dec 17, 2018

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 7, 2019
Tag 0656 D Dec 17, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 7, 2019
Tag 0657 D Dec 17, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jan 7, 2019
Tag 0686 D Dec 17, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jan 7, 2019
Tag 0690 D Dec 17, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jan 7, 2019
Tag 0692 D Dec 17, 2018

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jan 7, 2019
Tag 0693 D Dec 17, 2018

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Jan 7, 2019
Tag 0695 D Dec 17, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jan 7, 2019
Tag 0697 D Dec 17, 2018

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jan 7, 2019
Tag 0698 D Dec 17, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jan 7, 2019
Tag 0755 D Dec 17, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 7, 2019
Tag 0757 D Dec 17, 2018

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Jan 7, 2019
Tag 0758 D Dec 17, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jan 7, 2019
Tag 0759 E Dec 17, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jan 7, 2019
Tag 0760 D Dec 17, 2018

Ensure that residents are free from significant medication errors.

✓ Corrected: Jan 7, 2019
Tag 0803 D Dec 17, 2018

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Jan 7, 2019
Tag 0806 D Dec 17, 2018

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Jan 7, 2019
Tag 0812 F Dec 17, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 7, 2019
Tag 0814 D Dec 17, 2018

Dispose of garbage and refuse properly.

✓ Corrected: Jan 7, 2019
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