Laguna Hills Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Laguna Hills Health and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 10, 2023

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the necessary care and services were provided to prevent the worsening of pressure injuries and promote the healing of existing pressure injuries for two of four sampled residents (Residents 1 and 3). * Resident 3 had a Stage 2 pressure injury on the back upon admission to the facility on [DATE]. The facility failed to assess, measure, notify the physician to obtain a wound treatment order andimplement the necessary interventions to prevent further skin breakdown of Resident 3's Stage 2 pressure injury on the back. This failure resulted in Resident 3's Stage 2 pressure injury on the back deteriorating and developing into an unstageable pressure injury. […]

• No harm, potential for more than minimal, patternF726May 26, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure three of three nursing staff (CNAs 2 and 3, and LVN 4) interviewed demonstrated the competencies and skill sets needed to provide safe nursing care to the residents who were on anticoagulant medication. * CNAs 2 and 3 failed to explain failed to explain how to handle and care for residents that are on anticoagulant medication. * LVN 4 failed to explain what the main side effects to monitor for when the residents were on an anticoagulant medication. […]

• No harm, potential for more than minimal, patternF689Aug 25, 2025

  Based on observation, interview, and facility P&P review, the facility failed to ensure the environment remained free from accident hazards for one of four final sampled residents (Resident 42) and two nonsampled residents (Residents 26 and 166) reviewed for accidents. * The facility failed to post signage on Resident 42's room to indicate the oxygen was in use. * The facility failed to ensure the resident rooms contained secured closet/storage cabinets for 103 of 103 resident rooms. * A pair of long scissors was observed on Resident 166's overbed table. These failures posed the risk for injuries to the residents, staff, and visitors.Findings: 1. On 8/19/25 at 1010 hours, an observation was conducted of Resident Room E. Resident 26 resided in Room E. […]

• No harm, potential for more than minimal, patternF812Aug 25, 2025

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen. * The facility failed to ensure Station A ice machine drainpipe maintained an air gap (space between the water outlet and the flood level of the drain that prevents backflow of waste water from the drain) at the floor sink drain. This failure had the potential to result in waterborne illnesses in a highly susceptible resident population. * The facility failed to ensure proper storage of refrigerated food in the kitchen. * The facility failed to ensure the kitchen equipment was clean and in good condition. * The facility failed to ensure the broom and dustpan were stored in a sanitary manner. […]

• No harm, potential for more than minimal, patternF689Aug 19, 2024

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to provide the necessary care and services to ensure the facility's four of four dryers and two of 35 final sampled residents (Residents 13 and 87) were free from accident hazards. * The facility failed to ensure the lint screen on all four dryers were brushed and cleaned after every load or every hour per the facility's P&P. In addition, the facility failed to ensure there were no exposed foam in one dryer causing the lint to stick to the foam, and the lint was not removed thoroughly. […]