Santa Clarita Post-Acute Care Center Complaints, Violations and Inspection Records

June 5, 2026, standard and complaint inspections

15 deficiencies cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident, ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, and provide and implement an infection prevention and control program.

• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity E)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0610Respond appropriately to all alleged violations. (scope and severity D)
• F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (scope and severity D)
• F0645PASARR screening for Mental disorders or Intellectual Disabilities (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
• F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
• F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
• F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)

February 11, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)

December 9, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity E)

September 2, 2025, complaint inspection

5 deficiencies cited. Surveyors cited the facility for provide and implement an infection prevention and control program, reasonably accommodate the needs and preferences of each resident, and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)

• F0760Ensure that residents are free from significant medication errors. (scope and severity D)
• F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity D)

August 12, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

• F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (scope and severity D)

April 2, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)

February 14, 2025, standard and complaint inspections

26 deficiencies cited. Surveyors cited the facility for honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely, ensure that each resident is free from the use of physical restraints, unless needed for medical treatment, and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (scope and severity E)
• F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (scope and severity E)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
• F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (scope and severity E)
• F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
• F0760Ensure that residents are free from significant medication errors. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0814Dispose of garbage and refuse properly. (scope and severity E)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0583Keep residents' personal and medical records private and confidential. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

• F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
• F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (scope and severity D)
• F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
• F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)
• F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (scope and severity B)
• F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)

February 5, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities and respond appropriately to all alleged violations.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0610Respond appropriately to all alleged violations. (scope and severity D)

August 17, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured and safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

July 29, 2024, complaint inspection

4 deficiencies cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident, provide appropriate pressure ulcer care and prevent new ulcers from developing, and provide for the safe, appropriate administration of iv fluids for a resident when needed.

• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)
• F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed. (scope and severity D)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

July 2, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide appropriate pressure ulcer care and prevent new ulcers from developing and provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity G)
• F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)

June 4, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

• F0880Provide and implement an infection prevention and control program. (scope and severity E)

March 13, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for give the resident's representative the ability to exercise the resident's rights.

• F0551Give the resident's representative the ability to exercise the resident's rights. (scope and severity D)

February 9, 2024, standard and complaint inspections

22 deficiencies cited. Surveyors cited the facility for obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care, ensure that residents are free from significant medication errors, and honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

• F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (scope and severity J)
• F0760Ensure that residents are free from significant medication errors. (scope and severity J)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity E)
• F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity E)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity E)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity E)
• F0698Provide safe, appropriate dialysis care/services for a resident who requires such services. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (scope and severity D)
• F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (scope and severity D)
• F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)
• F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. (scope and severity D)
• F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
• F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)

• F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (scope and severity D)
• F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity D)
• F0908Keep all essential equipment working safely. (scope and severity D)
• F0732Post nurse staffing information every day. (scope and severity C)

February 1, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

• F0880Provide and implement an infection prevention and control program. (scope and severity E)

September 25, 2023, standard inspection

3 deficiencies cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, provide and implement an infection prevention and control program, and ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (scope and severity D)