Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Childrens Hc Org No Ca -pediatric Hospital D/p Snf during CMS and state inspections, most recent first.
A resident with hypoxic ischemic encephalopathy had skin conditions that were not accurately documented in weekly assessments by licensed nurses. The DON confirmed the inaccuracies, which were against the facility's policies for skin breakdown and wound care documentation.
The facility failed to ensure that all residents had ID bracelets, as observed with two residents during medication administration. Additionally, two nurses documented medication administration before actually administering the medications to two other residents, contrary to proper procedures. The DON confirmed the importance of ID bracelets and accurate documentation.
The facility failed to maintain sanitary conditions in the kitchen, with dietary aides not fully covering their hair with hairnets, and multiple temperature and chlorine test logs missing entries. An opened bottle of ranch dressing lacked an open date, contrary to facility policy. These issues could potentially lead to food-borne illness.
The facility failed to implement proper infection control practices, including overflowing garbage cans with used PPE, improper glove changes and hand hygiene by LVNs during medication administration, and unclean medication carts. These deficiencies were observed in three residents, with staff confirming the lapses in infection control procedures.
A facility failed to obtain informed consent before administering Diazepam to a resident for dysautonomia and/or agitation. The resident's medical records lacked documentation of consent from the responsible party before the medication start date, despite the facility's policy requiring it. This oversight was confirmed by the DON during a record review.
A resident was observed near an air-conditioning unit with a loosely ajar vent cover, posing a potential hazard. The unit had old tape residue and was temporarily secured with duct and medical paper tape. The Maintenance Supervisor confirmed the parts were brittle and no replacements were requested, acknowledging the hazard. Facility policy requires environments to be free of accident hazards.
Inaccurate Skin Assessments for a Resident
Penalty
Summary
The facility failed to provide services in accordance with professional standards of practice for a resident when licensed nurses did not accurately complete the resident's skin assessments. The resident, who was admitted with a diagnosis of hypoxic ischemic encephalopathy, had a noted issue of skin dryness on the left breast on one occasion and swelling and discharge on the left nipple on another. However, these conditions were not documented in the designated sections of the resident's weekly skin assessments on two separate dates. The director of nursing confirmed during an interview that the skin assessments were not accurate, acknowledging the omissions. The facility's policy and procedure for skin breakdown and wound care require licensed nurses to document lesions and skin assessments with appropriate interventions, which was not adhered to in this case. This lack of documentation could potentially compromise the facility's ability to provide resident-centered interventions based on assessment data.
Failure to Ensure Resident Identification and Accurate Medication Documentation
Penalty
Summary
The facility failed to adhere to professional standards of practice by not ensuring that all residents had identification (ID) bracelets, which are crucial for preventing medical errors. Specifically, Resident 125 and Resident 9 were observed without ID bracelets during medication administration. Registered Nurses M and N confirmed the absence of ID bracelets for Resident 125, and RN G confirmed the same for Resident 9. The Director of Nursing (DON) acknowledged that every resident should have an ID bracelet for identification purposes, as per the facility's policy, which mandates the use of ID bracelets or photo IDs during medication administration and other treatments. Additionally, the facility did not follow proper documentation procedures for medication administration. Licensed nurses documented the administration of medications before actually administering them to the residents. RN O documented the administration of Midodrine and Docusate Sodium for Resident 16 before delivering the medications, and LVN P did the same for Chlorothiazide Suspension, vitamin D, and Bactrim zinc ointment for Resident 19. Both nurses confirmed their actions and acknowledged that documentation should occur post-administration to maintain accuracy and prevent medication errors. The DON reiterated the importance of accurate documentation after medication administration.
Sanitation and Record-Keeping Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, as observed during a survey. Two dietary aides were found not to have their hair completely covered with hairnets while preparing bottled formula, which could lead to cross-contamination. The facility's policy requires all dietary employees to wear hair restraints when around exposed foods. Additionally, temperature logs for a free-standing side-counter refrigerator and freezer, as well as an undercounter refrigerator for clients' use, had missing entries over several months. The Director of Nursing (DON) confirmed these omissions and stated that kitchen staff should have checked and recorded the temperatures daily. Further deficiencies were noted in the daily dishwasher temperature log and chlorine test log, which had multiple missing entries over several months. The DON acknowledged that these logs should have been completed daily. Additionally, an opened bottle of ranch dressing in the undercounter refrigerator was found without an open date, contrary to the facility's policy that requires all refrigerated foods to be clearly labeled and dated. These failures had the potential to cause food-borne illness for the residents.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to implement proper infection control practices for three of the twelve sampled residents. In Resident 14's room, a white plastic garbage can was observed overflowing with used yellow disposable gowns and gloves. This was confirmed by a registered nurse and the infection preventionist, who stated that the garbage should be collected every shift and as needed to prevent infection control issues. The Director of Nursing also acknowledged that it was the staff's responsibility to ensure garbage cans were not overflowing to prevent the spread of infectious microorganisms. For Resident 19, a Licensed Vocational Nurse (LVN) did not change gloves between tasks and used her fingers to apply Bactrim Zinc ointment to a cut on the resident's foot after administering medications via a G-tube. The LVN confirmed that she should have used a new pair of gloves to prevent infection. Similarly, for Resident 1, another LVN did not sanitize her hands between glove changes while administering medications via a G-tube and eye drops. The Director of Nursing confirmed that hand hygiene should be performed after removing gloves and before wearing a new pair. Additionally, during a medication cart inspection, it was found that three medications were not kept clean. A bottle cap of an iron supplement had brownish stains, a box of Anti-Diarrheal had a brown stain, and a bottle of Children's All-day Allergy had a solid white substance on the cap. Both a registered nurse and an LVN confirmed these observations, and the Director of Nursing stated that all medications in the carts should be kept clean to prevent infection.
Failure to Obtain Informed Consent for Psychotropic Medication
Penalty
Summary
The facility failed to ensure that a resident was free from unnecessary psychotropic medications due to the lack of documented informed consent before the administration of Diazepam. The resident, who was admitted to the facility, had physician orders for Diazepam to be administered both intravenously and via J-Tube for dysautonomia and/or agitation. These orders were set to be in effect for 90 days. However, there was no evidence in the medical records that informed consent was obtained from the resident's parents or responsible party before the medication start date. During an interview and record review with the Director of Nursing, it was confirmed that there was no documentation of informed consent for the Diazepam orders. The facility's policy requires informed consent to be obtained before administering psychotropic medications, but this was not adhered to in this case. This oversight had the potential to result in the unnecessary use of medications for the resident.
Unsafe Air-Conditioning Unit in Resident's Room
Penalty
Summary
The facility failed to maintain a safe environment for a resident when the front vent cover of an air-conditioning unit was found to be loosely ajar. During an observation, a resident was seen standing near the air-conditioning unit, which had a vent cover that was not securely attached. The unit showed traces of old tape residue, and gray duct tape was used to secure the right side of the panel, with additional grayish strips of medical paper tape tethering the front vent cover. The inner fins of the air-conditioning unit were exposed due to the loose cover, which was confirmed by a Certified Nurse Aide (CNA) who stated that the cover was usually taped but had become loose. In an interview, the Maintenance Supervisor (MS) acknowledged that the parts of the air-conditioning unit were brittle and that no replacement parts had been requested. The MS admitted that the only repair made was to apply tape to the unit, and confirmed that the loosely ajar vent cover could pose a potential accident hazard for residents. The facility's policy and procedure on accidents and incidents indicated that the patient environment should remain as free of accident hazards as possible, highlighting a failure to adhere to this policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Campbell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Plum Tree Care Center | 0.5 mi | ★★★★★ | 0 | 0 |
| Woodlands Healthcare Center | 0.6 mi | ★★★★★ | 2 | 0 |
| Camden Postacute Care, Inc | 0.9 mi | ★★★★★ | 0 | 0 |
| Stonebrook Health And Rehabilitation | 1 mi | ★★★★★ | 2 | 0 |
| Almaden Health And Rehabilitation Center | 1.6 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.