Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Accura Healthcare Of Fullerton during CMS and state inspections, most recent first.
Food service sanitation and hand hygiene deficiencies were identified when the ice machine and convection oven had visible soil, the ice machine cleaning schedule in policy was not followed, and the dishwasher wash tank did not reach the required hot water sanitizing temperature. Staff were also observed changing gloves without hand hygiene and handling food and equipment in ways that did not maintain proper sanitation; the DM confirmed the observed conditions and practices.
Medication administration errors caused the facility’s error rate to exceed 5%, affecting two residents. An MA gave Levothyroxine to one resident at the breakfast table just before breakfast and gave Levothyroxine to another resident while the resident was already eating breakfast, even though the medication was ordered to be taken on an empty stomach and 30 minutes before meals. The MA and DON both confirmed the timing errors, and the facility policy required the six rights of medication administration, including the right time.
Bathroom ventilation systems were not operational in several resident bathrooms, as the fans ran but did not draw a 1-ply square of toilet paper during observations. The Maintenance Director said the fans were only checked monthly by listening for operation, and the Maintenance Man was unaware the systems were not working. The Administrator confirmed the bathroom ventilation was not working and that there was no policy and procedures for the ventilation system.
The facility failed to properly store, label, and maintain food and kitchen equipment, risking foodborne illness for all residents. Observations revealed unlabeled food items, a broken freezer door causing frost buildup, and unclean kitchen equipment. The facility's policies on food labeling and cleaning were not followed, as confirmed by the Administrator and Dietary Manager.
The facility failed to maintain a clean and safe environment, with issues such as leaking toilets, dusty ventilation covers, and damaged surfaces in multiple rooms. Additionally, a resident's missing dentures were not addressed, despite being essential for their oral hygiene and eating. Staff interviews revealed that the facility's policies on grievances and missing items were not followed, leading to unresolved issues and deficiencies in care.
A resident with diabetes received insulin injections without the required priming of insulin pens, as observed in a facility. The RN administered the insulin doses as ordered but failed to prime the pens, contrary to facility policy. This resulted in a medication error rate of 8%, as confirmed by the RN and the Director of Nursing.
A resident with multiple medical conditions and high fall risk experienced several falls due to inadequate intervention adjustments. Despite being educated to stay in the center of the bed and a suggested positioning bar, the resident refused the bar, and no alternative strategies were implemented. The facility's response was insufficient, as evidenced by continued falls, including incidents of rolling out of bed and falling asleep on the edge of the bed.
Food Service Sanitation and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to maintain cleanliness of the ice machine and convection oven surfaces. The Ice Machine Monthly Cleaning record showed the ice machine was cleaned on 01/22/2026, 02/18/2026, and 03/24/2026, while the facility policy stated ice machines should be cleaned twice per month. During observation, the white plastic piece above the ice in the ice machine had a black substance on it. The top convection oven also had thick streaks of brown greasy substance on the inner surfaces of both doors, the front edge, and the back of the oven. The Dietary Manager confirmed the condition of the ice machine and oven and stated the ice machine had been cleaned recently, but was unaware the policy required cleaning twice per month. The facility also failed to ensure the dishwasher reached the required temperature during the wash cycle for hot water sanitization. The dishwasher data plate stated the wash tank minimum temperature for hot water sanitizing was 160 degrees Fahrenheit, but observations showed the wash tank temperature reached only 142 F, 146 F, and 146 F during wash cycles. The Dietary Manager confirmed the dishwasher temperature was below 150 F and that the wash water tank did not reach the minimum required temperature for hot water sanitization. In addition, staff were observed failing to perform hand hygiene between glove changes during food preparation and meal service. One staff member washed hands, handled ground beef with bare hands, and then washed hands again; another removed gloves and put on new gloves without hand hygiene; and another used a gloved hand to handle carts and trash, then changed gloves without washing hands. The Dietary Manager confirmed staff should wash their hands when changing gloves and that handwashing with soap and water should take 20 seconds.
Medication Administration Timing Errors
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5%, with a documented error rate of 7.69% affecting 2 residents, Resident 11 and Resident 17, out of 3 sampled residents. During a medication administration observation, the medication aide prepared Resident 11’s Levothyroxine 88 micrograms, which was ordered to be taken on an empty stomach and 30 minutes prior to meals, but administered it at the breakfast table just five minutes before the resident received breakfast. The medication aide confirmed the timing error, and the DON also confirmed that Levothyroxine should have been given 30 minutes before breakfast. During another medication administration observation, the medication aide administered Resident 17’s Levothyroxine at the breakfast table while the resident was already eating breakfast. The bubble pack for Levothyroxine indicated daily administration, and the medication aide confirmed that the resident received the medication while eating breakfast and that it should have been given 30 minutes prior to breakfast. The DON likewise confirmed that Levothyroxine should have been administered 30 minutes before breakfast. The facility’s medication administration policy required staff to follow the six rights of medication administration, including the right time, and the medication regimen review policy stated that the consultant pharmacist would review resident medication regimens at least monthly.
Bathroom Ventilation Systems Not Operational
Penalty
Summary
The facility failed to ensure that ventilation systems were operational in residents' bathrooms in rooms 33, 34, 36, 39, 40, and 41 to prevent odors. During observations on 3/30/26 and again on 3/31/26, the bathroom fans were running but did not draw a 1-ply square of toilet paper, showing the ventilation was not functioning properly. In interview, the Maintenance Director stated that the bathroom ventilations were only checked monthly when cleaning the vents and that the fan was considered working if it could be heard running; the Maintenance Man stated he was not aware the bathroom ventilation systems were not working and confirmed the fans came on but did not pull the toilet paper. The Maintenance Director confirmed the ventilation system was not working, and the Administrator confirmed the bathroom ventilation was not working and that there was no policy and procedures regarding the ventilation system.
Deficiencies in Food Storage and Kitchen Maintenance
Penalty
Summary
The facility failed to ensure proper food storage, labeling, and kitchen equipment maintenance, which could potentially lead to foodborne illness affecting all residents consuming meals from the facility's kitchen. During an initial kitchen tour, it was observed that the walk-in refrigerator contained unlabeled and undated food items, such as chicken noodle soup and fruit bowls. Additionally, the walk-in freezer had a broken door seal, leading to a heavy accumulation of frost and ice on all surfaces inside. A storage rack outside the freezer held an unlabeled bag of muffins dated over a month prior. These observations were confirmed during a follow-up tour, where further issues were noted, including unlabeled gluten-free pancakes and muffins in various storage areas. The facility's cleaning schedule was not adhered to, as evidenced by the presence of debris on kitchen equipment and surfaces. The microwave and toaster were found with layers of debris, and the floor beneath the stove and ovens was dirty with food debris. The ice machine had a filter covered in dust, and baking pans had significant carbon buildup. Interviews with the Administrator and Dietary Manager confirmed the ongoing issue with the freezer door and the lack of interventions to ensure safe food storage. The facility's policy required all repackaged food items to be labeled and dated, and kitchen equipment to be cleaned according to the cleaning policy, which was not followed.
Facility Fails to Maintain Clean Environment and Address Missing Dentures
Penalty
Summary
The facility failed to maintain a clean and safe environment for its residents, as evidenced by multiple observations and record reviews. The maintenance log revealed ongoing issues with leaking toilets in several resident rooms, which were reported by staff but not adequately addressed. Observations during the survey confirmed that the ventilation covers in shared bathrooms were coated with dust, and there were significant issues with leaking toilets, unsecured fixtures, and water damage in multiple rooms. Additionally, the paint and surfaces in some rooms were damaged and not cleanable, contributing to an unsanitary environment. The facility also failed to address the issue of missing dentures for a resident. The resident's care plan indicated the need for assistance with oral hygiene, including the use of dentures. However, interviews and observations revealed that the resident had been without their dentures for several months, impacting their ability to eat properly. Despite the facility's policy on reporting lost items, no documentation was completed regarding the missing dentures, and the staff was unsure of how long they had been missing. Interviews with staff confirmed that the facility's grievance and missing items policies were not followed, as no grievance form or missing items form was completed for the missing dentures. The maintenance director acknowledged the need for cleaning and repairs in the affected areas, but the issues persisted, indicating a lack of timely and effective response to the reported concerns. The failure to maintain a clean and safe environment and to address the resident's missing dentures highlights significant deficiencies in the facility's operations.
Failure to Prime Insulin Pens Leads to Medication Error
Penalty
Summary
The facility failed to ensure proper medication administration practices, specifically with the use of insulin pens, leading to a medication error rate of 8% during the observation period. The facility's policy requires insulin pens to be primed before each use to ensure accurate dosing, but this step was not followed by the registered nurse (RN) administering insulin to Resident 19. The RN calibrated the insulin pens to the correct doses as per the resident's orders but did not prime the pens, which is a necessary step to avoid air in the insulin reservoir and ensure the correct dose is delivered. Resident 19, who has diabetes, was receiving multiple insulin injections daily, including Fiasp and Tresiba, as part of their care plan. During the observation, the RN administered the insulin without priming the pens, a deviation from the facility's policy and professional standards. The RN later confirmed the omission and admitted that priming was not routinely performed. The Director of Nursing also acknowledged that priming is required to ensure the exact dose is administered, highlighting a lapse in adherence to established medication administration protocols.
Failure to Revise Fall Prevention Interventions for High-Risk Resident
Penalty
Summary
The facility failed to develop and revise interventions to prevent ongoing falls for a resident, identified as Resident 32, who was at high risk for falls. The resident had multiple medical conditions, including osteoarthritis, heart failure, morbid obesity, peripheral vascular disease, and diabetes, and was cognitively intact but incontinent and exhibited behaviors such as rejection of care and wandering. Despite being assessed as high risk for falls, the resident experienced several falls, including rolling out of bed multiple times and falling in the corridor due to weakness and shortness of breath. The facility's Fall Prevention Program required that each resident be assessed for fall risk and receive care according to their individualized risk level. However, after Resident 32's initial fall, the interventions were not effectively revised or implemented. The resident was educated to stay in the center of the bed, and a positioning bar was suggested but refused by the resident. No alternative interventions were identified or implemented after the refusal, and the resident continued to experience falls. The facility's response to the resident's falls was inadequate, as evidenced by the lack of timely and effective intervention adjustments. The resident's refusal of the positioning bar was not addressed with alternative strategies, and the risk meeting held six days after a fall did not result in new interventions. The resident continued to fall, including an incident where the resident fell asleep on the edge of the bed and fell to the floor, indicating a failure to provide adequate supervision and intervention to prevent accidents.
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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 Fullerton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Genoa Community Hospital/ltc | 13.3 mi | ★★★★★ | 0 | 0 |
| Cloverlodge Care Center | 15.3 mi | ★★★★★ | 0 | 0 |
| Litzenberg Memorial County Hospital | 18.1 mi | ★★★★★ | 5 | 0 |
| Adept Nursing & Rehab Of Central City | 18.2 mi | ★★★★★ | 1 | 0 |
| Good Samaritan Society - Albion | 21.8 mi | ★★★★★ | 9 | 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.