Irvine Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF804Feb 13, 2025

  Based on interview, record review, and review of the facility's policy, the facility failed to provide food served at a safe and appetizing temperature to ensure resident satisfaction and safety for 5 out of 17 residents who attended the Resident Group Meeting held on 02/12/2025 at 1:20 PM. Five interviewable residents (Resident (R)4, R7, R38, R69, and R291) selected by the facility in a resident group meeting all expressed concerns about the facility's food, which included hot food being served cold. Observation of a test tray with the Dietary Manager (DM) revealed hot food temperatures were below 135 degrees Fahrenheit (F)and cold foods were above 41 degrees F. […]

• No harm, potential for more than minimal, isolatedF583Feb 13, 2025

  Based on interview, record review, and review of the facility's policy, it was determined the facility failed to ensure the security and confidentiality of medical records for one of twenty-nine (29) sampled residents, Resident 4 (R4). Medical information including the patient's name and medical symptoms were given to a family member of R4's physician. The findings include: Observation, on 02/12/2025 at 11:55 PM, revealed Registered Nurse (RN) 1 call Physician 1's home phone number to report R4's complaint of chest pain. […]

• No harm, potential for more than minimal, isolatedF880Feb 13, 2025

  Based on interview, record review, and review of the facility's policy, it was determined the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of twenty-nine (29) sampled residents, Resident 4 (R4). The findings include: Observation, on 02/12/2025 at 11:30 PM, revealed Registered Nurse (RN) 1 obtained vital signs and a glucometer (blood sugar) check for R4 without washing her hands before or after obtaining vital signs and the glucometer check. […]

• No harm, potential for more than minimal, isolatedF919Feb 13, 2025

  Based on interviews, record review, and review of the facility's policy, the facility failed to allow residents to call for staff assistance through a communication system that relays the call directly to a staff member from each resident's bedside. During observations on the 2/12/2025 night shift, call lights for Resident (R) 23, R26, and R67 were found lying under the bed, behind a chair on the floor, and clipped to the privacy curtain, and all were out of reach for the residents to call for assistance. The findings include: The facility resident council meeting was held on 02/12/2025 at 1:20 PM, with 4 out of seventeen residents who attended voicing the following concerns about call lights: R291 revealed, We can't get any help during the night. […]

• No harm, potential for more than minimal, isolatedF641Dec 19, 2024

  F641 Based on observation, interview and record review, the facility failed to ensure that each resident recived an assessment that accurately reflected the resident's status. Record review revealed a diagnosis of paraphilia had been entered on Resident (R) 6's admission face sheet on 06/29/2024. Review of the hospital discharge History and Physical (H&P) and the facility's admission H&P did not listed paraphilia as a diagnosis for R6. The findings include: Review of facility's policy titled Comprehensive Care Plans Standard of Practice dated 10/2020 revealed the comprehensive care plan was based on a thorough asessment that includes, but was not limited to the Minimum Data Set (MDS). […]