F 0562
Provide immediate access to any resident.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to ensure telephone calls for the resident were
answered by the facility staff for one of three residents reviewed (Resident A).
Residents Affected - Few
This failure had the potential to to lead to physical and psychosocial distress for Resident A.
Findings:
On March 26, 2025, at 10:10 a.m., an unannounced visit to the facility was conducted to investigate a
quality of care issue.
On March 26, 2025, at 2:30 p.m., during an interview with Resident A and Resident A's Family member
(FM), Resident A stated, her call light had fallen to the floor. She stated, she began hollering out for staff
assistance, but no one came into the room. Resident A stated she called a family member for help.
Resident A's FM stated, she had experienced issues with the facility's phone systems. She stated, she
attempted to call the facility multiple times from 9:11 p.m to 9:22 p.m. but received no response. Resident
A's FM stated, the phone was answered after 9:22 p.m., was transferred to the nurses station but the call
was not answered and did not receive a callback from staff. She stated, she expressed frustration over the
lack of communication.
On March 28, 2025, at 5:20 p.m., during an interview with the Facility Receptionist (FR), she stated she
remained at the facility until 9 p.m., after which incoming calls were transferred to the Registered Nurse
Supervisor (RNS).
On March 28, 2025, at 5:30 p.m., during an interview with the RNS, she stated when she was attending to
a change in resident's condition or administering medication, it would be possible that phone calls may not
be answered immediately.
A review of Resident A's admission Record indicated, Resident A was admitted to the facility on [DATE],
with diagnoses which included ALS (Amyotrophic Lateral Sclerosis- a progressive neurodegenerative
disease that affects nerve cells in the brain and spinal cord, leading to muscle weakness and eventually
paralysis).
On March 28, 2025, at 5:34 p.m, Resident B was interviewed, she stated calls that were intended for her
were never forwarded to her.
On March 28, 2025, at 5:36 p.m, Resident C was interviewed, he stated calls that were intended for him
were never forwarded to him.
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 3
Event ID:
555566
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
555566
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/22/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corona Post Acute Center
2600 South Main Street
Corona, CA 92882
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0562
Level of Harm - Minimal harm
or potential for actual harm
On April 10, 2025, at 2 p.m., during an interview with the Administrator, she stated the expectation was for
the calls made during office hours and after office hours
will be forwarded to the right person and will be answered by staff.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
555566
If continuation sheet
Page 2 of 3
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
555566
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/22/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corona Post Acute Center
2600 South Main Street
Corona, CA 92882
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0755
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a
licensed pharmacist.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to ensure to ensure that Hydrocodone (a strong pain
medicine) was reordered in a timely manner for one of three sampled residents (Resident A), resulting in
the medication not available when needed.
This failure had the potential for Resident A's pain to be uncontrolled and not following the
physician-ordered pain management regimen.
Findings:
On March 26, 2025, at 10:10 a.m., an unannounced visit to the facility was conducted to investigate a
quality of care/treatment issue.
A review of Resident A's admission Record, indicated Resident A was admitted to the facility on [DATE],
with diagnoses which included spinal stenosis lumbosacral region ( refers to a narrowing of the spinal canal
in the lower back, which can put pressure on the spinal cord [A column of nerve tissue that runs from the
base of the skull down the center of the back ] and nerve roots, potentially causing pain, numbness, and
weakness).
A review of Resident A's progress notes titled, Medication Administration Note, dated February 24, 2025,
indicated, Hydrocodone 5-325 was not administered due to medication not available.
On March 28, 2025, at 2 p.m., during a concurrent interview and review of Resident A's progress note on
medication administration with Licensed Vocational Nurse (LVN) 1, LVN 1 stated the Hydrocodone 5- 325
was not available. The LVN stated routine pain medication should be reordered when there were seven pills
remaining in the medication card. The LVN stated there was no documentation showing that the medication
had been reordered when only seven pills remained. LVN 1 sated she should have reordered the
medication to ensure continued availability.
On March 28, 2025, at 2:45 p.m., during a concurrent interview and record review with the Registered
Nurse Supervisor, (RNS), the RNS stated the Hydrocodone was unavailable and there was no
documentation of a timely reorder three to four days before the medication ran out. She stated the licensed
nurses were expected to reorder medication when approximately seven tablets remain.
A review of facility policy and procedure titled, Medication Orders and Receipt Records, dated April 2007
indicated, .Medication should be ordered in advance .
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
555566
If continuation sheet
Page 3 of 3