Northridge Rehabilitation and Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Sep 11, 2025

  Based on observation, staff interview, medical record review, and review of the facility policy, the facility failed to maintain infection control practices after providing resident care. This had the potential to affect all 69 residents residing at the facility. The facility census was 69.Findings include:Record review for Resident #38 revealed an admission date of 12/09/21. Diagnoses included muscle weakness, unspecified dementia, and hemiplegia and hemiparesis following cerebral infarction affecting left non dominant side. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #38 was dependent for toileting hygiene and was always incontinent of bowel and bladder. […]

• No harm, potential for more than minimal, widespreadF725Feb 6, 2025

  Based on observation, resident, family, and staff interview, record review, and review of the facility assessment, the facility failed to provide sufficient staffing to consistently meet the resident's needs. This affected three (Residents #55, #181, and #182) and had the potential to affect all 74 residents residing at the facility. Findings include: 1) There was inadequate staff to complete timely incontinence care and bathing/showering for the residents. 1a. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #181 was cognitively intact. Resident #181 required partial/moderate assistance with toileting hygiene. Resident #181 was occasionally incontinent of urine and frequently incontinent of bowel. Interview on 01/29/25 at 3:25 P.M. […]

• No harm, potential for more than minimal, widespreadF835Feb 6, 2025

  Based on record review, review of personnel job descriptions, review of personnel files, review of the facility's infection control program, resident, staff, and family interview, and interview with the local health department (LHD), the administration team lacked involvement to ensure staff and resident reports of staff mistreatment were not dismissed before investigating the allegations, did not identify an issue with the resident's medical records being accurate and factual, and did not ensure adequate staffing was maintained to meet the needs of their residents and according the facility's assessment. […]

• No harm, potential for more than minimal, widespreadF880Feb 6, 2025

  Based on review of the medical record, review of a COVID-19 outbreak log, review of staffing schedules, review of staff timecards, review of the staff call-off log, staff and resident interview, observation, interview with the Local Health Department (LHD), review of the Centers for Disease Control and Prevention (CDC) infection control guidance, and policy review, the facility failed to implement an effective and recommended infection control practices, including timely contact tracing to identify close contacts of COVID-19 positive residents and staff, timely reporting of a COVID-19 outbreak to the LHD, and a system to ensure all staff and residents were tested for COVID-19 per CDC guidelines and facility policy to prevent the potential spread of COVID-19 to vulnerable residents within… […]

• No harm, potential for more than minimal, widespreadF887Feb 6, 2025

  Based on review of resident immunizations, review of personnel records, staff interview, and policy review, the facility failed to ensure residents and staff were educated on the risks, benefits, and side effects of the COVID-19 vaccine. This affected five (#14, #42, #53, #57, and #64) of five residents reviewed for immunization and seven of seven employees reviewed for immunization and had the potential to affect all residents. The facility census was 74. Findings include 1) Review of the medical record for Resident #57 revealed an admitted [DATE]. Diagnoses included anoxic brain injury, and sudden cardiac arrest. […]