Covina Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Covina Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF760Apr 19, 2025

  Based on interview and record review, the facility failed to ensure two of three sampled residents (Residents 35 and 89) were not administered Epoetin Alfa-epbx (Epogen, a medication to treat anemia [a condition when the blood does not have enough red blood cells or reduced amount of hemoglobin [Hgb, a protein in red blood cells that carries oxygen throughout the body]) injections as indicated in Residents 35 and 89's physicians orders (PO) to hold Epogen injections when Residents 35 and 89's Hgb level was > (more than) 10 grams per deciliter (g/dl, unit of measurement for Hgb). […]

• Immediate jeopardy, isolatedF684Dec 1, 2023

  Based on interview and record review, the facility failed to provide nursing care and services for one of five sampled residents (Resident 1) by failing to: 1. Ensure Registered Nurse (RN) 2 reconciled (comparing a resident's medication orders to the medications he/she has been taking to avoid medication errors) Resident 1's insulin [medication used to help the body turn food into energy and control blood-sugar/glucose (BS) levels] per Resident 1's physician order for insulin aspart (rapid-acting insulin that helps lower mealtime blood-sugar spikes) per sliding scale (varies the dose of insulin based on the BS level prior to insulin administration, the higher the BS level, the higher the insulin dose) when Resident 1 was readmitted from General Acute Care Hospital (GACH) 1 to the facility… […]

• Actual harm, isolatedF689May 30, 2025

  Based on observation, interview, and record review, the facility failed to ensure Certified Nursing Assistant (CNA) 4 provided care and services to prevent a fall (move downward, typically rapidly and freely without control, from a higher to a lower level) for one of four sampled residents (Resident 1), according to the facility's policy and procedure (P&P) titled, Safe Lifting and Movement of Residents, and the Inservice on the use of Hoyer lift (mechanical [made or operated by a machine] lift - a device used by staff to lift and transfer residents from bed to a chair or one location to another), dated 2/19/2025 by failing to: Ensure CNA 4 provided two-person physical assistance (help from two persons) to transfer (moving a resident from one place to another) Resident 1 from Resident 1's… […]

• No harm, potential for more than minimal, widespreadF880Jan 26, 2021

  Based on observation, and interview, the facility failed to provide a safe, sanitary environment to help prevent the spread of infections during the Coronavirus (COVID-19 - an illness caused by [MEDICAL CONDITION] that can spread from person to person) in the quarantine zone (yellow zone - this area was for the following residents: those who have been in close contact with known cases of COVID-19, newly admitted or readmitted residents, those who have symptoms of possible COVID-19 pending test results, and for residents with indeterminate tests) by failing to: a. Ensure to place an isolation signage for droplet(a small drop, such as a particle of moisture discharged from the mouth during coughing, sneezing, or speaking) and contact precaution in the facility's yellow zone. b. […]

• No harm, potential for more than minimal, patternF552Jun 18, 2026

  Based on interview and record review, the facility failed to ensure the accuracy and completeness of an informed consent (voluntary agreement to accept treatment and/or procedures after receiving education regarding the risks, benefits, and alternatives offered) for the use of psychotropic medications (any drug that affects brain activities associated with mental processes and behavior) for two of two sampled residents (Residents 8 and 74) by failing to:a. Ensure Resident 8's informed consent for the use of Ativan (medication to treat anxiety [feeling of worry, fear or nervousness]) was dated when the informed consent was obtained.b. […]