Kindred Hospital Brea D/P SNF

In the surveyor’s words

From the most serious findings on record at Kindred Hospital Brea D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF605Feb 5, 2026

  Based on interview, medical record review, and facility P&P review, the facility failed to ensure five of five final sampled residents (Residents 1, 7, 13, 22, and 40) reviewed for unnecessary medications were appropriately monitored for the identified manifested episode of behavior and provided with the non pharmacological interventions for the use of psychotropic medications. * Resident 7's medical record did not have documentation of the non pharmacological interventions prior to the administration of the medications, and no monthly summary of behaviors targeted for the use of Seroquel (antipsychotic medication that treats schizophrenia and bipolar disorder), Ativan (anxiety medications), and divalproex (a mood-stabilizing medication) medications.* Resident 13's medical record did not… […]

• No harm, potential for more than minimal, patternF755Feb 5, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the medications were administered as ordered by the physician, properly accounted for, and destroyed per pharmaceutical protocols. * Resident 7's Ativan (a controlled medication for anxiety) administration log did not match the administration record and the physician's orders. * Resident 7's midodrine (a medication to treat low blood pressure) was administered outside of the ordered parameters.* Resident 13's midodrine was administered outside of the ordered parameters.* The facility failed to ensure medication destruction was completed by two licensed nurses.* Resident 46's controlled medication log did not match the administration record. […]

• No harm, potential for more than minimal, patternF761Feb 5, 2026

  Based on observation, interview, record review, and facility P&P review, the facility failed to ensure the proper storage and labeling of medications and biologicals in one of one medication rooms observed (Medication Room A), and two of five medication carts observed (Medication Carts A and B) and at two non-sampled residents bedside (Residents 35 and 41) were followed. * Medication Room A's medication destruction incinerator container was not secured, and the medications were not effectively destroyed. * Two bottles of compounded Vancomycin (medication to treat infections), past their labeled use by date, were in Medication Room A's refrigerator. […]

• No harm, potential for more than minimal, patternF812Feb 5, 2026

  Based on observation and interview, the facility failed to ensure the sanitation in the kitchen was maintained. * There was no thermometer inside the reach in refrigerator,* One box of opened gloves and two boxes of aluminum sheets were stored inside the reach in refrigerator.* Two racks inside the reach in refrigerator had brown discoloration.* Expired items were stored on the kitchen countertop.* Two bottles of expired Ensure were stored inside the residents' refrigerator * One sanitizer bucket was stored near food items.* Food stored in the steam table did not reach the appropriate temperatures.* Temperature log for dish washing machine was not completed for 2 days.* Two staff did not know the location of the emergency food storage. […]

• No harm, potential for more than minimal, patternF880Feb 5, 2026

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to maintain the infection prevention control program and practices designed to provide a safe and sanitary environment to help prevent the transmission of communicable diseases and infections. * The facility failed to maintain an accurate infection control surveillance program for November and December 2025, and January 2026. The facility conducted surveillance only for the residents who exhibited signs and symptoms of infection and were prescribed antimicrobial medications. […]