Anaheim Point

In the surveyor’s words

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

• Immediate jeopardy, widespreadF689Apr 24, 2023

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide a safe environment free from potentially serious accident hazards for seven of seven smoking residents (Residents 40, 52, 55, 62, 73, 87, and 529) who smoked in the facility and one nonsampled resident (Resident 82) who was at risk for falls. 1. The facility failed to ensure the safe smoking practices were followed for seven residents (Residents 40, 52, 55, 62, 73, 87, and 529) who smoked in the facility as evidenced by: - The residents were not accurately and thoroughly assessed and reassessed to determine if they required supervision or any adaptive safety equipment while smoking, nor if they could safely store their own cigarettes or lighters. […]

• No harm, potential for more than minimal, patternF552Jun 19, 2026

  Based on interview, medical record review, and facility P&P review, the facility failed to ensure three of five sampled residents for unnecessary medications (Residents 2, 6, and 13), and three of 29 final sampled residents (Residents 3, 11, and 61) reviewed for informed consents were provided the right to self-determination regarding the use of the psychotropic medications and treatments. * The facility failed to ensure Resident 2's informed consent for the quetiapine (antipsychotic medication) was signed by the resident or resident's representative. In addition, the facility failed to ensure Resident 2's informed consent for the trazadone medication was verified by two licensed nurses when the resident's representative gave consent via telephone. […]

• No harm, potential for more than minimal, patternF605Jun 19, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure one of five sampled residents for unnecessary medications (Resident 6), and two of 29 final sampled residents (Residents 5 and 13) were free from the unnecessary psychotropic medications. * The facility failed to ensure the behavior manifestation related to the use of Risperdal (antipsychotic) medication was monitored for Resident 5. In addition, the resident's psychoactive summary sheet for May 2026 did not match the behavior monitored. * The facility failed to ensure Resident 6 was provided with nonpharmacological interventions when the resident exhibited the behavior manifestation related to the use of the quetiapine (antipsychotic) medication. […]

• No harm, potential for more than minimal, patternF693Jun 19, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the appropriate GT care and services were provided for two nonsampled residents (Residents 88 and 149). * The facility failed to ensure RN 1 checked the GT residual prior to flushing the GT with water for Resident 88. In addition, RN 1 failed to administer the water flush and diluted medications via GT by gravity flow as per the facility's P&P. * The facility failed to ensure LVN 2 put the TF (tube feeding) on hold prior to checking the GT residual and flushing the GT with water; and prior to administering the medications for Resident 149. In addition, LVN 2 failed to administer the diluted medications via GT by gravity flow as per the facility's P&P. […]

• No harm, potential for more than minimal, patternF695Jun 19, 2026

  Based on observations, interview, medical record review, and facility P&P review, the facility failed to provide the necessary respiratory care and services for three of four sampled residents (Residents 8, 126, and 148) reviewed for respiratory care. * The facility failed to ensure Resident 8 and 148's oxygen were administered as per the physician's order. * The facility failed to ensure Resident 126's Yankauer suction tip was stored in a set-up bag when not in use. In addition, the facility failed to ensure Resident 126 was assessed and provided education on how to independently suction herself, and how to store the Yankauer suction when not in use. […]