Medicare flags this nursing home for abuse. Medicare adds this flag when a home was cited for abuse that harmed a resident, or for potential abuse more than once. Ask the home what changed.
Inspection citations
1’23
31’24
41’25
26’26
99 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 20, 2026 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Aug 20, 2026 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Routine |
| Aug 20, 2026 | B · minimal | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Aug 20, 2026 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Aug 20, 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 |
| Aug 20, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 20, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Aug 20, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Aug 20, 2026 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Aug 20, 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 |
| Aug 20, 2026 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Aug 20, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Aug 20, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Aug 20, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 20, 2026 | 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 |
| Aug 20, 2026 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Aug 20, 2026 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Aug 20, 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 |
| Aug 20, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 20, 2026 | B · minimal | Dispose of garbage and refuse properly. | Routine |
| Aug 20, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Aug 20, 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 |
| Aug 20, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Aug 20, 2026 | D · potential | Keep all essential equipment working safely. | Routine |
| Mar 16, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 3, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Oct 6, 2025 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Complaint |
| Oct 6, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Oct 6, 2025 | 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 |
| Oct 6, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Oct 6, 2025 | B · minimal | 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 |
| Sep 25, 2025 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Sep 25, 2025 | 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 |
| Sep 25, 2025 | 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. | Complaint |
| Sep 25, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Sep 25, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Sep 25, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
| Sep 25, 2025 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Complaint |
| Sep 25, 2025 | D · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Complaint |
| Sep 25, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Sep 25, 2025 | B · minimal | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Aug 19, 2025 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Aug 19, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Aug 19, 2025 | D · potential | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Routine |
| Aug 19, 2025 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Aug 19, 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 |
| Aug 19, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Aug 19, 2025 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Aug 19, 2025 | 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 |
| Aug 19, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Aug 19, 2025 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Aug 19, 2025 | B · minimal | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 19, 2025 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Aug 19, 2025 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Aug 19, 2025 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Aug 19, 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 |
| Aug 19, 2025 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 19, 2025 | B · minimal | 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 |
| Aug 19, 2025 | B · minimal | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Aug 19, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jul 9, 2025 | B · minimal | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Jul 9, 2025 | B · minimal | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Complaint |
| Apr 18, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Apr 18, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Apr 18, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Feb 18, 2025 | B · minimal | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jan 29, 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. | Complaint |
| Dec 12, 2024 | 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. | Complaint |
| Jul 19, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Jul 19, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jul 19, 2024 | 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. | Complaint |
| Jul 19, 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 |
| Jul 19, 2024 | 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. | Complaint |
| Jul 19, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Jul 19, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jul 19, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Jul 19, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Jul 19, 2024 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Jul 19, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jul 19, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jul 19, 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 |
| Jul 19, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jul 19, 2024 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Jul 19, 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 |
| Jul 19, 2024 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Jul 19, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jul 19, 2024 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Jul 19, 2024 | B · minimal | Dispose of garbage and refuse properly. | Routine |
| Jul 19, 2024 | B · minimal | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Routine |
| Jul 19, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jul 19, 2024 | D · potential | Keep all essential equipment working safely. | Routine |
| Jul 19, 2024 | E · 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 |
| Jul 19, 2024 | E · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| May 21, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| May 6, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Mar 19, 2024 | 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 |
| Mar 19, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Mar 5, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Oct 4, 2023 | B · minimal | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | 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
Pelican Ridge Post Acute
466 Flagship Road, Newport Beach, CA 92663 · (949) 642-8044
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055121
- Certified beds
- 167
- Legal owner
- Flagship Post Acute LLC
- Part of
- David Johnson
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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