Anaheim Crown Plaza

87303(a) Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times...This requirement was not met as evidence by: LPA observed a bug in R1s closet and 2 of 4 staff informed LPA that R1s room had bedbugs that they had to treat. This poses an immediate health safety and personal rights risk to residents in care.

87465(a)(2) Incidental Medical and Dental Care The licensee shall provide assistance in meeting necessary medical... needs....This requirement was not met as evidence by:3 of 4 staff informed LPA that R1 wassuspected with a UTI on September 30, 2025 and was taken to the hospital only after R1s responsible party requested it on October 4, 2025 after attempting to send a urinary sample to a lab for testing.This poses an immediate health, safety or personal rights risk to residents in care.

87464(f)(1) Basic Services(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement is not met as evidence by: Based on the reviewed documents obtained and interviews conducted during the investigation, the facility failed to ensure that R1 was provided care and supervision with the fall precautions that were implemented by R1’s physician. This resulted in R1 sustaining a laceration to the head during R1’s fall.This poses an immediate health and safety risk for residents in care.

87466 Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs…the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This requirement is not met as evidence by: Based on the reviewed documents obtained and interviews conducted during the investigation, the facility failed to ensure that the resident was regularly checked and did not adhere to the fall precautions as stated in R1’s physician report, therefore sustaining a fracture during fall.This poses an immediate health and safety risk for residents in care.

To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not being met as evidenced by, Staff 2 (S2) admitted to letting Resident 1 (R1) see and touch their breasts for money. This poses an immediate, health, safety and personal rights risk to residents in care.

To be free from punishment, humiliation, abuse or other actions of a punitive nature… This requirement is not being met was evidenced by, Staff 2 (S2) admitted to accepting and keeping money from Resident 1 (R1) which poses an immediate personal rights risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 5 staff trainings which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in one resident restroom water testing at 122.5 degrees Farenheit which poses a potential health, safety or personal rights risk to persons in care.

(1) Medication shall be kept in a safe and locked place that is not accessible... other than employees responsible for the supervision of... medication.This requirement is not met as evidenced by: LPA reviewed residents physician report stating they cannot manage or store their medication.

Based on medication review, the licensee did not comply with the section cited above due to multiple Medication Administration Records missing signatures for doses given to residents. This poses a potential health risk to persons in care.

Based on medication review, the licensee did not comply with the section cited above due to multiple Medication Administration Records missing signatures for PRN doses given to residents. This poses a potential health risk to persons in care.

Based on medication review, the licensee did not comply with the section cited above due to being unable to locate 3 presribed medications for residents during the inspection. This poses a potential health risk to persons in care.

Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include...and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: based on observation, record review & interview the licensee did not ensure the elevator was maintained in operating condition. This poses a potential risk to the health & safety of residents in care.