Oceana Healthcare Center

In the surveyor’s words

From the most serious findings on record at Oceana Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF697May 28, 2025

  Based on observation, interview, and record review the facility failed to provide effective pain management for one of six sampled residents (Resident 2), who had a left shoulder fracture (break in a bone), bladder surgery, and left hip fracture all sustained from a motorcycle accident, by failing to: 1. Administer the as needed pain medication, hydromorphone (Dilaudid- a strong pain reliever to treat moderate to severe pain) when Resident 2 complaint of a lot of pain on 5/24/2025 morning. Resident 2 received a dose of hydromorphone 4 milligrams (mg) on 5/24/25 at 4 PM. 2. Administer the as needed pain medication (hydromorphone) when Resident 2 complaint of pain on 5/27/2025 at 1:15 PM. Hydromorphone is not available. 3. […]

• Actual harm, isolatedF600Jun 24, 2024

  Based on interviews, and record review, the facility failed to follow its policy and procedures (P&P) titled, Abuse Prevention/Investigation/Reporting and Resolution, which indicated the facility will protect the rights, safety, and wellbeing of each resident, by failing to prevent one of three sampled residents (Resident 2) from hitting Resident 1. This deficient practice resulted in Resident 1 sustaining a laceration (cut) and contusion (a bruise which is when blood leaks into the surrounding area due to an injury) to the forehead and was transferred to the general acute care hospital (GACH) for evaluation and treatment of the head. […]

• Actual harm, isolatedF689Jun 24, 2024

  Based on interview, and record review the facility failed to provide supervision while smoking for one of three sampled residents (Resident 1). This deficient practice resulted in a fight between Resident 1 and Resident 2 on 6/8/2024. Resident 2 hit Resident 1 on the forehead. Resident 1 sustained a laceration (cut) to the forehead and was transferred to the general acute care hospital (GACH) on 6/8/2024. GACH diagnosed Resident 1 with contusion (a bruise [This happens when small blood vessels get torn and leak blood under the skin], a result of a direct blow or an impact) of the head. Cross Reference F600 Findings: 1. […]

• No harm, potential for more than minimal, patternF725Feb 18, 2026

  Based on observation, interview, and record review, the facility failed to provide sufficient staffing to accommodate the residents' needs and request according to the facility's policy and procedures (P&P) titled, Staffing reviewed on 7/11/2025 for seven of ten sampled days (on 2/8/2026, 2/10/2026, 2/11/2026, 2/12/2026, 2/15/2026, 2/16/2026 and 2/17/2026).This deficient practice resulted in residents not receiving needed services timely and efficiently and had the potential to affect the quality of life and treatment given to the residents. […]

• No harm, potential for more than minimal, patternF880Feb 18, 2026

  Based on observation, interview and record review, the facility failed to implement facility's policy and procedures (P&P) titled, Scabies - Prevention and Control, when one of three sampled residents (Resident 5) was noted with signs and symptoms (s/sx) of scabies (a contagious skin disease marked by itching and small raised red spots, caused by the itch mite that burrow into the skin) by failing to:1. Properly identify possible cases of scabies infection as soon as possible.2. Develop contact list (tracing) and to notify and educate facility's employees, family members and visitors. […]