South Coast Post Acute Complaints, Violations and Inspection Records

June 17, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)

June 10, 2026, 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 D)

June 4, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (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)

October 29, 2025, complaint inspection

1 deficiency 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.

• 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)

September 24, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for respond appropriately to all alleged violations.

• F0610Respond appropriately to all alleged violations. (scope and severity D)

August 7, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge and safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

• F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (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 B)

July 15, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody and safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (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 B)

June 6, 2025, complaint inspection

5 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities, and respond appropriately to all alleged violations.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (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)
• 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)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

February 28, 2025, standard and complaint inspections

15 deficiencies cited. Surveyors cited the facility for provide for the safe, appropriate administration of iv fluids for a resident when needed, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and ensure that residents are fully informed and understand their health status, care and treatments.

• F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed. (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)
• F0552Ensure that residents are fully informed and understand their health status, care and treatments. (scope and severity D)
• F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity D)
• F0645PASARR screening for Mental disorders or Intellectual Disabilities (scope and severity D)

• F0679Provide activities to meet all resident's needs. (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)
• 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)
• F0759Ensure medication error rates are not 5 percent or greater. (scope and severity D)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity D)
• F0814Dispose of garbage and refuse properly. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (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 B)

December 18, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)

November 5, 2024, 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 D)

July 24, 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 B)

June 26, 2024, complaint inspection

3 deficiencies cited. Surveyors cited the facility for provide enough food/fluids to maintain a resident's health, provide and implement an infection prevention and control program, and provide appropriate pressure ulcer care and prevent new ulcers from developing.

• F0692Provide enough food/fluids to maintain a resident's health. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity B)

May 21, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident.

• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)

April 19, 2024, complaint inspection

4 deficiencies cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident, provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, and implement 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.

• F0558Reasonably accommodate the needs and preferences of each resident. (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)
• 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)

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

March 27, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)

February 20, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals and create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (scope and severity B)

January 25, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals and provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

December 21, 2023, standard inspection

33 deficiencies cited. Surveyors cited the facility for implement 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, ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• 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)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (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)
• F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (scope and severity E)
• F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care. (scope and severity D)
• F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity D)
• F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity D)
• F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (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)
• F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (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)
• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
• F0679Provide activities to meet all resident's needs. (scope and severity D)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

• F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (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)
• F0759Ensure medication error rates are not 5 percent or greater. (scope and severity D)
• F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity D)
• F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (scope and severity D)
• F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance. (scope and severity D)
• F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)
• F0881Implement a program that monitors antibiotic use. (scope and severity D)
• F0583Keep residents' personal and medical records private and confidential. (scope and severity B)
• F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (scope and severity B)
• F0638Assure that each resident’s assessment is updated at least once every 3 months. (scope and severity B)
• F0641Ensure each resident receives an accurate assessment. (scope and severity B)
• 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 B)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity B)
• F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (scope and severity B)
• F0814Dispose of garbage and refuse properly. (scope and severity B)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity B)
• 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 B)

November 16, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate pressure ulcer care and prevent new ulcers from developing.

• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)

October 26, 2023, complaint inspection

3 deficiencies cited. Surveyors cited the facility for provide timely, quality laboratory services/tests to meet the needs of residents, 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, and ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

• F0770Provide timely, quality laboratory services/tests to meet the needs of residents. (scope and severity E)
• 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)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity D)

August 31, 2023, complaint inspection

2 deficiencies cited. Surveyors cited the facility for allow resident to participate in the development and implementation of his or her person-centered plan of care and immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

• F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care. (scope and severity D)
• 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)

April 19, 2022, standard inspection

11 deficiencies cited. Surveyors cited the facility for provide and implement an infection prevention and control program, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

• F0880Provide and implement an infection prevention and control program. (scope and severity F)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (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)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity D)
• F0881Implement a program that monitors antibiotic use. (scope and severity D)
• F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (scope and severity B)
• F0814Dispose of garbage and refuse properly. (scope and severity B)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity B)