Lake Balboa Care Center

In the surveyor’s words

From the most serious findings on record at Lake Balboa Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF620Jul 23, 2026

  Based on interview and record review, the facility failed to complete the facility's admission packets including admission agreements and the facility orientation packets upon admission per its policy and procedure (P&P) for three of four sampled residents (Resident 1, Resident 3, and Resident 4). This failure had the potential to result in the residents and residents' responsible parties (RP - an individual who signs a facility's admission agreement to manage a resident's care, administrative tasks, and billing arrangements) not being able to exercise their rights including a resident's continued stay in the facility with Medi-Cal (Medicaid - a public health insurance program funded by the government that provides free or low-cost medical care to people with low incomes and limited… […]

• No harm, potential for more than minimal, patternF656Apr 12, 2026

  Based on interview, and record review, the facility failed to develop and implement a person-centered care plan (a tool that ensures residents receive personalized, comprehensive, and goal-oriented care in a nursing home setting) by: 1.Failing to ensure a care plan was developed for three of five sampled residents (Resident 7, 15 and 35) investigated during review of the Infection Control task when Residents 7, 15, and 35 refused Coronavirus Disease 2019 (COVID-19,respiratory illness that spreads easily through respiratory droplets from coughs, sneezes, or talking) pneumonia (an infection/inflammation in the lungs), influenza (an infection of the nose, throat and lungs) and respiratory syncytial virus (RSV-a common respiratory virus. […]

• No harm, potential for more than minimal, patternF684Apr 12, 2026

  Based on interview and record review, the facility failed to ensure licensed nurses practiced professional standards of practice while administering insulin (hormone that regulates the amount of glucose [sugar] in the blood) by failing to rotate (a method to ensure repeated injections are not administered in the same area) the insulin injections sites for one of one sampled resident (Resident 2) investigated under the care area insulin. This failure had the potential to result in bruising, pain, and/or lipodystrophy (lump or accumulation of fatty tissue under skin) to Resident 2. […]

• No harm, potential for more than minimal, patternF760Apr 12, 2026

  Based on interview and record review, the facility failed to ensure residents were free of any significant medication errors by failing to rotate (a method to ensure repeated injections are not administered in the same area) the insulin (hormone that regulates the amount of glucose [sugar] in the blood) injections sites for one of one sampled resident (Residents 2) investigated under the care area insulin. This failure had the potential to result in bruising, pain, and/or lipodystrophy (lump or accumulation of fatty tissue under skin) to Resident 2 and for Resident 2 to not get the appropriate amount of medication.Findings: During a review of Resident 2's Face Sheet, the Face Sheet indicated the facility admitted Resident 2 on 6/1/2023 and readmitted the resident on 2/24/2026 with… […]

• No harm, potential for more than minimal, patternF880Apr 12, 2026

  Based on observation, interview, and record review, the facility failed to observe infection control guidelines by failing to: 1. Ensure one of one sampled ice machines did not have black substances inside the ice compartment bin. This deficient practice had the potential to result in contamination of the ice which could lead to waterborne diseases (illnesses caused by pathogenic microorganisms, bacteria, viruses, and parasites transmitted through contaminated water) for 48 of 50 residents in the facility. 2. […]