Laguna Rainbow Nursing Center

In the surveyor’s words

From the most serious findings on record at Laguna Rainbow Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF600Dec 20, 2024

  Based on record review and interview, the facility failed to prevent resident to resident sexual abuse for 1 (R #17) of 3 (R #5, #17 and #33) residents reviewed for abuse. This deficient practice likely resulted in psychosocial harm and distress for R #17, as evidence by the resident to become more withdrawn and isolated, experience anxiety and fear, and weight loss. The findings are: A. Record review of R #17's face sheet indicated she was admitted on [DATE] with the following diagnoses: - Cataract extraction (surgery to replace eye lens with an artificial one), - Osteoporosis (low bone mass leading to deterioration of bone tissue) with fracture, - Depressive disorder (depression; a mood disorder that causes a persistent feeling of sadness and loss of interest), - Chronic pain. B. […]

• Actual harm, isolatedF689Jun 9, 2022

  Based on record review and interview, the facility failed to identify hot water as a hazard and implement interventions to reduce the hazard for 1 (R #27) of 1 (R #27) resident reviewed for accidents and hazards when she was provided a hot beverage that spilled on her lap causing severe [CONDITION(S)]. This deficient practice likely resulted in R #27 experiencing second and third degree [CONDITION(S)] (among the most severe of [CONDITION(S)] and destroys two full layers of your skin) on her thighs. The findings are: A. […]

• No harm, potential for more than minimal, widespreadF812Mar 12, 2026

  Based on observation and interviews, the facility failed to ensure food was stored, prepared, and served under sanitary conditions, when they failed to:Ensure staff served beverages to residents in a clean manner and without the staff members hands touching the rim of the cup.Ensure there are no expired cans in the kitchen. Ensure food and beverage items are stored appropriately and not left open to air. Ensure there is no accumulated residue on condiment containers in the kitchen. This deficient practice is likely to affect all 43 residents identified on the resident census list provided by the Administrator on 03/09/26. […]

• No harm, potential for more than minimal, widespreadF761Apr 24, 2025

  Based on record review, observation, and interview, the facility failed to assure medications were secured and inaccessible to unauthorized staff. This deficient practice had the potential to affect all 33 residents identified on the facility census list provided by the Administrator on 04/22/25. Improperly stored medications could result in a resident, staff member, or visitor taking the medications not prescribed to them. The findings are: A. Record review of the facility's Medication Storage Controlled Medication Storage policy (any type of chemical that can alter a person's physical or mental state.), dated January 2025, revealed the following: - Only authorized licensed nursing and pharmacy personnel had access to controlled medications. […]

• No harm, potential for more than minimal, widespreadF812Apr 24, 2025

  Based on record review, observation and interviews, the facility failed to sanitize dishes when staff did not maintain the dish washing machine at 120 degrees ( ) Fahrenheit (F), per manufacturer's instructions. This deficient practice was likely to affect all 33 residents of the facility. If the facility fails to ensure the dish machine reached the appropriate temperature, then residents could potentially be exposed to foodborne illnesses (illnesses caused by food contaminated with bacteria, viruses, parasites, or toxins.) The findings are: A. Record review of the facility's Dish Washing Policy, dated March 2010, revealed the policy did not address the temperature of the water for sanitizing dishes. B. […]