Inspection citations
25’23
2’24
31’25
36’26
94 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jul 2, 2026 | E · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Jul 2, 2026 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Jul 2, 2026 | E · 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 |
| Jul 2, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Jul 2, 2026 | E · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Jul 2, 2026 | E · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Routine |
| Jul 2, 2026 | B · minimal | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Jul 2, 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 |
| Jul 2, 2026 | 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 |
| Jul 2, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jul 2, 2026 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Jul 2, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Jul 2, 2026 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jul 2, 2026 | E · 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 |
| Jul 2, 2026 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Jul 2, 2026 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jul 2, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jul 2, 2026 | E · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Jul 2, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jul 2, 2026 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Jul 2, 2026 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jul 2, 2026 | 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 |
| Jul 2, 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 |
| Jul 2, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jul 2, 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 |
| Jul 2, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jul 2, 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 |
| Jul 2, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jul 2, 2026 | E · potential | Keep all essential equipment working safely. | Routine |
| May 26, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| May 26, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Mar 26, 2026 | 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. | Complaint |
| Mar 26, 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. | Complaint |
| Mar 26, 2026 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Feb 18, 2026 | B · minimal | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jan 30, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
| Dec 8, 2025 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Complaint |
| Dec 8, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jul 10, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| May 28, 2025 | B · minimal | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Apr 28, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Apr 28, 2025 | B · minimal | Allow residents to self-administer drugs if determined clinically appropriate. | Complaint |
| Apr 28, 2025 | 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 |
| Apr 28, 2025 | B · minimal | Keep residents' personal and medical records private and confidential. | Routine |
| Apr 28, 2025 | B · minimal | Ensure each resident receives an accurate assessment. | Routine |
| Apr 28, 2025 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Apr 28, 2025 | 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 |
| Apr 28, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Apr 28, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Apr 28, 2025 | 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 |
| Apr 28, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Apr 28, 2025 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Apr 28, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Apr 28, 2025 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Apr 28, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Apr 28, 2025 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Apr 28, 2025 | 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 |
| Apr 28, 2025 | 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 |
| Apr 28, 2025 | 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 |
| Apr 28, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 28, 2025 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Apr 28, 2025 | B · minimal | Dispose of garbage and refuse properly. | Routine |
| Apr 28, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Apr 28, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Apr 28, 2025 | D · potential | Keep all essential equipment working safely. | Routine |
| Mar 18, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Mar 18, 2025 | B · minimal | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Complaint |
| Jul 30, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| May 28, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Dec 7, 2023 | B · minimal | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Dec 7, 2023 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Dec 7, 2023 | 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 |
| Dec 7, 2023 | B · minimal | Keep residents' personal and medical records private and confidential. | Routine |
| Dec 7, 2023 | D · potential | 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. | Routine |
| Dec 7, 2023 | 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 |
| Dec 7, 2023 | B · minimal | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Dec 7, 2023 | D · potential | Provide activities to meet all resident's needs. | Routine |
| Dec 7, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Dec 7, 2023 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Dec 7, 2023 | 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 |
| Dec 7, 2023 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Dec 7, 2023 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Dec 7, 2023 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Dec 7, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Dec 7, 2023 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Dec 7, 2023 | 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 |
| Dec 7, 2023 | 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 |
| Dec 7, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 7, 2023 | B · minimal | Dispose of garbage and refuse properly. | Routine |
| Dec 7, 2023 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 7, 2023 | D · potential | Implement a program that monitors antibiotic use. | Routine |
| Dec 7, 2023 | B · minimal | Keep all essential equipment working safely. | Routine |
| Dec 7, 2023 | D · potential | Regularly 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. | Routine |
| Nov 9, 2023 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
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
The Pavilion at Sunny Hills
2222 N. Harbor Blvd., Fullerton, CA 92835 · (714) 992-5701
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555733
- Certified beds
- 300
- Legal owner
- Fullerton Healthcare & Wellness Centre LP
- Part of
- Pursue Health
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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