Starfile / California

PLAZA HEALTHCARE CENTER

1209 HEMLOCK WAY, SANTA ANA, CA 92707 · CCN 055206

Abuse icon

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$4,587

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

COUNTRY VILLA HEALTH SERVICES

Facilities in chain

6

Chain avg overall

2.50 / 5

Inspection citations (176)3 actual harm

1. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-23 · Health · corrected 2026-01-15

   Potential for minimal harm

2. DF0558Reasonably accommodate the needs and preferences of each resident.2025-08-07 · Health · corrected 2025-08-27

   Potential for more than minimal harm

3. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-07 · Health · corrected 2025-08-27

   Potential for more than minimal harm

4. BF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-08-07 · Health · corrected 2025-08-27

   Potential for minimal harm

5. BF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2025-08-07 · Health · corrected 2025-08-27

   Potential for minimal harm

6. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-07 · Health · corrected 2025-08-27

   Potential for more than minimal harm

7. BF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-08-07 · Health · corrected 2025-08-27

   Potential for minimal harm

8. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-16 · Health · corrected 2025-07-03

   Potential for more than minimal harm

9. BF0558Reasonably accommodate the needs and preferences of each resident.2025-06-16 · Health · corrected 2025-07-03

   Potential for minimal harm

10. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

11. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

12. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

13. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

14. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

15. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

16. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

17. DF0693Ensure 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.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

18. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

19. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

20. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

21. BF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-16 · Health · corrected 2025-07-03

    Potential for minimal harm

22. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

23. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

24. BF0814Dispose of garbage and refuse properly.2025-06-16 · Health · corrected 2025-07-03

    Potential for minimal harm

25. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-16 · Health · corrected 2025-07-03

    Potential for minimal harm

26. DF0880Provide and implement an infection prevention and control program.2025-06-16 · Health · corrected 2025-07-03

    Potential for more than minimal harm

27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-23 · Health · corrected 2025-05-07

    Potential for more than minimal harm

28. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-04 · Health · corrected 2025-04-15

    Potential for minimal harm

29. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-25 · Health · corrected 2025-04-01

    Potential for minimal harm

30. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-17 · Health · corrected 2024-11-02

    Potential for more than minimal harm

31. DF0758Implement 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.2024-10-17 · Health · corrected 2024-11-02

    Potential for more than minimal harm

32. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-10-07 · Health · corrected 2024-10-28

    Potential for more than minimal harm

33. BF0880Provide and implement an infection prevention and control program.2024-10-07 · Health · corrected 2024-10-28

    Potential for minimal harm

34. DF0761Ensure 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.2024-08-29 · Health · corrected 2024-09-23

    Potential for more than minimal harm

35. BF0803Ensure 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.2024-08-15 · Health · corrected 2024-09-06

    Potential for minimal harm

36. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-15 · Health · corrected 2024-09-06

    Potential for more than minimal harm

37. BF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-08-15 · Health · corrected 2024-09-06

    Potential for minimal harm

38. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-31 · Health · corrected 2024-08-19

    Potential for more than minimal harm

39. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-10 · Health · corrected 2024-07-28

    Potential for more than minimal harm

40. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-07-10 · Health · corrected 2024-07-28

    Potential for more than minimal harm

41. BF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-06-26 · Health · corrected 2024-07-12

    Potential for minimal harm

42. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-13 · Health · corrected 2024-06-28

    Potential for more than minimal harm

43. DF0584Honor 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.2024-06-04 · Health · corrected 2024-06-28

    Potential for more than minimal harm

44. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-04 · Health · corrected 2024-06-28

    Potential for more than minimal harm

45. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-04 · Health · corrected 2024-06-28

    Potential for more than minimal harm

46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-04 · Health · corrected 2024-06-28

    Potential for more than minimal harm

47. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-04 · Health · corrected 2024-06-28

    Potential for more than minimal harm

48. DF0761Ensure 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.2024-06-04 · Health · corrected 2024-06-28

    Potential for more than minimal harm

49. DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

50. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

51. BF0578Honor 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.2024-05-06 · Health · corrected 2024-06-18

    Potential for minimal harm

52. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

53. BF0583Keep residents' personal and medical records private and confidential.2024-05-06 · Health · corrected 2024-06-18

    Potential for minimal harm

54. DF0584Honor 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.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

55. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

56. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

57. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

58. DF0693Ensure 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.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

59. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

60. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

61. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

62. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

63. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

64. BF0730Observe each nurse aide's job performance and give regular training.2024-05-06 · Health · corrected 2024-06-18

    Potential for minimal harm

65. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

66. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

67. DF0758Implement 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.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

68. DF0759Ensure medication error rates are not 5 percent or greater.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

69. BF0761Ensure 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.2024-05-06 · Health · corrected 2024-06-18

    Potential for minimal harm

70. DF0808Ensure 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.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

71. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

72. BF0814Dispose of garbage and refuse properly.2024-05-06 · Health · corrected 2024-06-18

    Potential for minimal harm

73. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-06 · Health · corrected 2024-06-18

    Potential for minimal harm

74. EF0880Provide and implement an infection prevention and control program.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

75. DF0908Keep all essential equipment working safely.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

76. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2024-05-06 · Health · corrected 2024-06-18

    Potential for more than minimal harm

77. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-25 · Health · corrected 2024-05-13

    Potential for more than minimal harm

78. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-04-25 · Health · corrected 2024-05-13

    Potential for more than minimal harm

79. BF0814Dispose of garbage and refuse properly.2024-04-25 · Health · corrected 2024-05-13

    Potential for minimal harm

80. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-04-11 · Health · corrected 2024-04-28

    Potential for more than minimal harm

81. DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-19 · Health · corrected 2024-04-13

    Potential for more than minimal harm

82. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-19 · Health · corrected 2024-04-13

    Potential for minimal harm

83. BF0880Provide and implement an infection prevention and control program.2024-03-19 · Health · corrected 2024-04-13

    Potential for minimal harm

84. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-02-29 · Health · corrected 2024-03-22

    Potential for more than minimal harm

85. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-29 · Health · corrected 2024-03-22

    Potential for more than minimal harm

86. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-29 · Health · corrected 2024-02-15

    Potential for more than minimal harm

87. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-01-29 · Health · corrected 2024-02-15

    Potential for more than minimal harm

88. BF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-01-29 · Health · corrected 2024-02-15

    Potential for minimal harm

89. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-10 · Health · corrected 2024-02-04

    Potential for more than minimal harm

90. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-10 · Health · corrected 2024-02-04

    Potential for more than minimal harm

91. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-10 · Health · corrected 2024-02-04

    Potential for more than minimal harm

92. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-10 · Health · corrected 2024-02-04

    Potential for more than minimal harm

93. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-15 · Health · corrected 2023-12-28

    Potential for more than minimal harm

94. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-13 · Health · corrected 2023-12-29

    Potential for more than minimal harm

95. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-13 · Health · corrected 2023-12-29

    Potential for more than minimal harm

96. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-04 · Health · corrected 2023-12-12

    Actual harm

97. DF0610Respond appropriately to all alleged violations.2023-12-04 · Health · corrected 2023-12-12

    Potential for more than minimal harm

98. DF0758Implement 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.2023-12-04 · Health · corrected 2023-12-12

    Potential for more than minimal harm

99. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-11-15 · Health · corrected 2023-12-08

    Potential for more than minimal harm

100. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-15 · Health · corrected 2023-12-08

     Actual harm

101. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-11-15 · Health · corrected 2023-12-08

     Potential for more than minimal harm

102. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-15 · Health · corrected 2023-12-08

     Potential for more than minimal harm

103. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-11 · Health · corrected 2023-10-23

     Potential for more than minimal harm

104. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-21 · Health · corrected 2023-10-17

     Potential for more than minimal harm

105. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-21 · Health · corrected 2023-10-17

     Potential for more than minimal harm

106. DF0687Provide appropriate foot care.2023-09-21 · Health · corrected 2023-10-17

     Potential for more than minimal harm

107. DF0758Implement 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.2023-09-21 · Health · corrected 2023-10-17

     Potential for more than minimal harm

108. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-21 · Health · corrected 2023-10-17

     Potential for more than minimal harm

109. EF0880Provide and implement an infection prevention and control program.2023-09-21 · Health · corrected 2023-10-17

     Potential for more than minimal harm

110. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-09-21 · Health · corrected 2023-10-17

     Potential for more than minimal harm

111. BF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-15 · Health · corrected 2023-08-21

     Potential for minimal harm

112. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-07 · Health · corrected 2023-08-25

     Potential for more than minimal harm

113. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-07 · Health · corrected 2023-08-25

     Potential for more than minimal harm

114. DF0610Respond appropriately to all alleged violations.2023-08-07 · Health · corrected 2023-08-25

     Potential for more than minimal harm

115. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-07 · Health · corrected 2023-08-25

     Potential for more than minimal harm

116. BF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2023-08-07 · Health · corrected 2023-08-25

     Potential for minimal harm

117. BF0880Provide and implement an infection prevention and control program.2023-08-07 · Health · corrected 2023-08-25

     Potential for minimal harm

118. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-08-07 · Health · corrected 2023-08-25

     Potential for more than minimal harm

119. BF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-11 · Health · corrected 2023-08-10

     Potential for minimal harm

120. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-28 · Health · corrected 2023-07-27

     Potential for minimal harm

121. DF0758Implement 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.2023-06-14 · Health · corrected 2023-07-13

     Potential for more than minimal harm

122. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-06 · Health · corrected 2023-07-06

     Actual harm

123. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-06 · Health · corrected 2023-07-06

     Potential for more than minimal harm

124. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-06 · Health · corrected 2023-07-06

     Potential for more than minimal harm

125. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-02 · Health · corrected 2023-07-02

     Potential for more than minimal harm

126. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-01 · Health · corrected 2023-07-01

     Potential for more than minimal harm

127. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-30 · Health · corrected 2023-06-29

     Potential for more than minimal harm

128. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-05-18 · Health · corrected 2023-06-18

     Potential for more than minimal harm

129. DF0758Implement 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.2023-05-18 · Health · corrected 2023-06-18

     Potential for more than minimal harm

130. DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2023-05-18 · Health · corrected 2023-06-18

     Potential for more than minimal harm

131. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-17 · Health · corrected 2023-06-17

     Potential for more than minimal harm

132. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-03 · Health · corrected 2023-06-03

     Potential for more than minimal harm

133. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-06 · Health · corrected 2023-05-06

     Potential for more than minimal harm

134. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-06 · Health · corrected 2023-05-06

     Potential for more than minimal harm

135. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-24 · Health · corrected 2023-04-24

     Potential for more than minimal harm

136. DF0564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.2023-03-23 · Health · corrected 2023-03-24

     Potential for more than minimal harm

137. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-03-08 · Health · corrected 2023-04-11

     Potential for more than minimal harm

138. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-08 · Health · corrected 2023-04-11

     Potential for more than minimal harm

139. DF0610Respond appropriately to all alleged violations.2023-03-08 · Health · corrected 2023-04-11

     Potential for more than minimal harm

140. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-07 · Health · corrected 2023-04-11

     Potential for more than minimal harm

141. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

142. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

143. DF0578Honor 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.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

144. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

145. DF0584Honor 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.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

146. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

147. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

148. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

149. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

150. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

151. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

152. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

153. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

154. DF0692Provide enough food/fluids to maintain a resident's health.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

155. DF0693Ensure 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.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

156. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

157. DF0697Provide safe, appropriate pain management for a resident who requires such services.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

158. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

159. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

160. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

161. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

162. EF0758Implement 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.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

163. DF0759Ensure medication error rates are not 5 percent or greater.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

164. DF0761Ensure 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.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

165. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

166. FF0803Ensure 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.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

167. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

168. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

169. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

170. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

171. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

172. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

173. EF0880Provide and implement an infection prevention and control program.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

174. DF0886Perform COVID19 testing on residents and staff.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

175. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

176. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2021-08-31 · Health · corrected 2021-09-30

     Potential for more than minimal harm

Ownership

Other facilities in SANTA ANA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.