Seal Beach Health and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF686Mar 3, 2022

  Based on interview, medical record review, and facility P&P review, the facility failed to ensure the necessary care and services were provided to prevent the development or worsening of the pressure ulcers for one of two sampled residents (Resident 1). Resident 1 was readmitted to the facility with a non-blanchable pressure ulcer to the sacrococcyx (tailbone area) on 10/26/21, which had progressed to a Stage 3 pressure ulcer on 1/12/22. * The facility failed to provide wound care treatments as ordered by the physician. * The facility failed to ensure Resident 1's skin assessments were consistently conducted to prevent the worsening of the pressure ulcer. * The facility failed to conduct the weekly IDT wound meetings to ensure the pressure ulcer was healing. […]

• No harm, potential for more than minimal, widespreadF880Jan 29, 2021

  Based on observation, interview, medical record review, and facility document review, the facility failed to establish and maintain the infection control practices designed to provide a safe and sanitary environment and help prevent the development and transmission of diseases and infections. * The facility failed to ensure the signs posted on the resident room doors showed the accurate isolation precautions for the staff and visitors to follow. * CNA 1 failed to perform hand hygiene before and after providing care to the residents. […]

• No harm, potential for more than minimal, patternF584Jul 3, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure comfortable home like environment was provided for five of 35 final sampled residents (Residents 22, 50, 79, 93, and 142) and two nonsampled residents (Resident 177 and 204) reviewed for home like environment. * The facility failed to provide an environment with comfortable sound levels for Residents 50, 79, 93, 142, 177, and 204. * The facility failed to ensure Resident 22's room (Room A) was in good repair, when there was a large area of chipped paint and a non-penetrating hole on the wall near Resident 22's bed. […]

• No harm, potential for more than minimal, patternF695Jul 3, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary respiratory care and services for four of 35 final sampled residents (Residents 5, 96, 116, and 166) and one nonsampled resident (Resident 38). * The facility failed to ensure oxygen was administered to Resident 5 in accordance with the physician's order. * The facility failed to ensure Resident 38's nasal cannula for her portable oxygen and for the oxygen concentrator were both dated and labeled. * The facility failed to ensure Resident 96's oxygen set up was administered and was connected to a humidifier per physician's order. * The facility failed obtain a physician's order or develop a care plan for Resident 116's use of CPAP. […]

• No harm, potential for more than minimal, patternF803Jul 3, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the menus were followed for 17 residents who received a fortified diet. * The facility failed to ensure one ounce of margarine was added to the lunch meal trays, and whole milk was provided to breakfast meal trays for the residents who were on fortified diets. This failure had the potential to not meet the resident's nutritional needs for the 17 of 173 residents who received a fortified diet. Findings: Review of the facility's matrix (undated) showed 173 residents consumed food prepared in the facility's kitchen. […]