Inspection citations
19’22
3’23
23’24
4’25
28’26
77 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| May 20, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
| May 20, 2026 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Apr 24, 2026 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Jan 13, 2026 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Jan 13, 2026 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Jan 13, 2026 | B · minimal | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jan 13, 2026 | D · potential | 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. | Routine |
| Jan 13, 2026 | B · minimal | Keep residents' personal and medical records private and confidential. | Routine |
| Jan 13, 2026 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Jan 13, 2026 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Jan 13, 2026 | D · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Routine |
| Jan 13, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jan 13, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jan 13, 2026 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Jan 13, 2026 | D · potential | Ensure 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. | Routine |
| Jan 13, 2026 | B · minimal | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jan 13, 2026 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Jan 13, 2026 | B · minimal | 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. | Routine |
| Jan 13, 2026 | D · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Jan 13, 2026 | D · potential | Ensure 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. | Routine |
| Jan 13, 2026 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Jan 13, 2026 | D · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Jan 13, 2026 | D · potential | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Routine |
| Jan 13, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 13, 2026 | D · potential | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Routine |
| Jan 13, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jan 13, 2026 | D · potential | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Routine |
| Jan 13, 2026 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 25, 2025 | B · minimal | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
| Apr 10, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 12, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Feb 12, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Nov 7, 2024 | B · minimal | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Nov 7, 2024 | B · minimal | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Nov 7, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Nov 7, 2024 | B · minimal | Ensure residents have reasonable access to and privacy in their use of communication methods. | Complaint |
| Nov 7, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Nov 7, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Nov 7, 2024 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Nov 7, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Nov 7, 2024 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Nov 7, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Nov 7, 2024 | D · potential | 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. | Routine |
| Nov 7, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Nov 7, 2024 | D · potential | 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. | Routine |
| Nov 7, 2024 | E · potential | Ensure 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. | Routine |
| Nov 7, 2024 | D · potential | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Routine |
| Nov 7, 2024 | D · potential | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Routine |
| Nov 7, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Nov 7, 2024 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Complaint |
| Nov 7, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 7, 2024 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Complaint |
| Nov 7, 2024 | D · potential | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Complaint |
| Oct 4, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Apr 25, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Dec 7, 2023 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Complaint |
| Oct 24, 2023 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Oct 24, 2023 | D · potential | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Complaint |
| Jun 13, 2022 | B · minimal | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| Jun 13, 2022 | B · minimal | Assure that each resident’s assessment is updated at least once every 3 months. | Routine |
| Jun 13, 2022 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jun 13, 2022 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Jun 13, 2022 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jun 13, 2022 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jun 13, 2022 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jun 13, 2022 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jun 13, 2022 | D · potential | 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. | Routine |
| Jun 13, 2022 | E · potential | 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. | Routine |
| Jun 13, 2022 | E · potential | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Routine |
| Jun 13, 2022 | D · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Jun 13, 2022 | D · potential | Ensure 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. | Routine |
| Jun 13, 2022 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Jun 13, 2022 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 13, 2022 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Jun 13, 2022 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jun 13, 2022 | D · potential | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Routine |
| Jun 13, 2022 | F · potential | Keep all essential equipment working safely. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Fountain Valley Post Acute
11680 Warner Avenue, Fountain Valley, CA 92708 · (714) 241-9800
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555328
- Certified beds
- 151
- Legal owner
- Fountain Valley Community Healthcare LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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