The Hills Post Acute
THE HILLS POST ACUTE in SANTA ANA, CA — inspection on March 24, 2025.
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
Review of Resident 815's H&P examination dated 3/14/25, showed Resident 815 could make needs known but could not make medical decisions.
Review of Resident 815's Order Summary Report showed a physician's order dated 3/18/25, for oxygen via nasal cannula at 2 liters per minute if the oxygen saturation level less than 90% as needed.
Review of Resident 815's Weights and Vitals Summary showed Resident 815's oxygen saturation level in room air was 98% on 3/18/25.
On 3/18/25 at 0932 hours, a follow-up observation of Resident 815 was conducted. Resident 815 was observed sitting at the edge of the bed.
The oxygen tubing was observed on the bed and had no bag and label.
The oxygen concentrator was observed to be on.
On 3/18/25 at 1019 hours, an observation of Resident 815 and concurrent interview was conducted with LVN 1.
The oxygen tubing was observed rolled and tucked in the oxygen concentrator's handle. LVN 1 stated the oxygen tubing should be labeled with the date when it was first used or changed and should be kept inside a plastic bag when not in use to avoid the buildup of residue in the tubing and for infection control measure. LVN 1 further stated the oxygen tubing was being changed every 72 hours. LVN 1 verified the oxygen tubing for Resident 815 was not labeled with the date when it was provided or changed and was not kept in a sanitary condition. LVN 1 stated she would dispose the oxygen tubing and replace with a new one.
555765
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555765 B.
Wing 03/24/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Hills Post Acute 1800 Old Tustin Avenue Santa Ana, CA 92705
Review of the facility's P&P titled Insertion of Peripheral I.V.
Device (undated) showed to label the dressing with the date and time the site was inserted, the gauge and length of the catheter inserted, and the initials of the inserting nurse.
1.
Medical Record Review for Resident 24 was initiated on 3/17/25. Resident 24 was admitted to the facility on [DATE], and readmitted on [DATE].
Review of Resident 24's Order Summary Report dated 3/18/25, showed a physician order dated 3/12/25, to measure the arm circumference in inches on admission and every seven days during the dressing changes every day shift, and measure the external catheter length in cm from end to the hub to the insertion site into skin.
555765
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555765 B.
Wing 03/24/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Hills Post Acute 1800 Old Tustin Avenue Santa Ana, CA 92705