Anaheim Crest Nursing Center

In the surveyor’s words

From the most serious findings on record at Anaheim Crest Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550May 21, 2026

  Based on observation, interview, medical record and facility P&P review, the facility failed to ensure two of 20 final sampled residents (Residents 3 and 6) and one nonsampled resident (Resident 56) were treated with respect and dignity. * The facility failed to ensure the video with Residents 3, 6, and 56 on it was not posted in the social media . This failure posed the risk to negatively affect the residents' psychosocial well-being.Findings: Review of the facility's P&P titled Compliance and Ethics Program- Code of Conduct and Statement of Purpose dated 12/2020 showed the objectives of the compliance and ethics program included the following:- to formulate effective, internal controls to ensure compliance with current statutes, regulations and rules;- demonstrate to employees and the… […]

• No harm, potential for more than minimal, patternF605May 21, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure four of five final sampled residents (Residents 2, 8, 49, and 83) reviewed for unnecessary medications and one of 20 final sampled residents (Resident 1) were free from unnecessary psychotropic medications. * The facility failed to ensure the monitoring of meal intake related to the use of the mirtazapine medication was accurate for Resident 1. The facility failed to ensure the monitoring of Resident 1's meal intake in the MAR matched the CNA documentation when the resident ate less than 50%. […]

• No harm, potential for more than minimal, patternF607May 21, 2026

  Based on interview, record review and facility P& review, the facility failed to ensure two of 20 final sampled residents (Residents 3 and 6) and one nonsampled resident (Resident 56) were free from abuse or exploitation as per the facility's P&P. * The facility failed to ensure the facility's protocols were discussed prior to providing activities to Residents 3, 6 and 56 who were in the video posted in the social media. This failure put the residents at risk for potential abuse and exploitation. Findings: Review of the facility's P&P titled Abuse Prevention Program dated 12/2024 showed the residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. […]

• No harm, potential for more than minimal, patternF656May 21, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the comprehensive care plan was developed and implemented to reflect the individual care needs for four of 20 final sampled residents (Residents 17, 23, 49, and 68). * The facility failed to develop a care plan problem to address Resident 17's new diagnosis of prurigo nodularis (a chronic, debilitating skin condition characterized by the eruption of intensely itchy, firm, and hard bumps (nodules) on the skin). * The facility failed to develop a care plan problem to address Resident 23's use of CPAP machine at the bedside. * The facility failed to implement bilateral floor mats per Resident 49's care plan for falls. […]

• No harm, potential for more than minimal, patternF684May 21, 2026

  Based on observation, interview, medical record review, the facility failed to provide the necessary care and services to ensure four of 20 final sampled residents (Residents 8, 17, 37, and 68) attained and maintained their highest practicable physical well-being. * The facility failed to ensure Resident 17's treatments were updated and directed towards Resident 17's newly identified diagnosis of prurigo nodularis rather than continued treatment for a dermatological rash. In addition, the facility failed to ensure the physician's order for therapeutic shampoo was followed. * The facility failed to ensure insulin injection sites were rotated per the physician's order for Residents 8 and 37. […]