Villa Valencia Health Care Center
24552 Paseo De Valencia, Laguna Hills, CA 92653
Citation Number: 060006731
Citation Date: 12/09/2009
Violation Date: 2/16/2010
Class: AA
Penalty: $ 100,000

On 7/30/09, a resident — who had been admitted for rehabilitation of a fractured hip — fell after getting out of bed to go to the bathroom, hit the foot of the bed, and suffered a serious head injury that caused severe bleeding and brain damage. She was hospitalized and died the next day. An autopsy found that the cause of death was a subdural hemorrhage due to blunt force trauma. A family member of the resident reported she called him the evening before her fall reporting no one was answering her call light. He also reported the facility had not discussed any plans to prevent falls during a care planning meeting on 7/28/09 even though the resident had suffered a fall and injuries two days earlier on 7/26/09. The facility was cited for several violations that led to the resident's death, including its failure to provide a safe environment, failure to implement its care plan to use an alarm to alert staff if the resident attempted to get out of bed, failure to develop a comprehensive care plan and failure to assess the resident's high risk for injury from a fall due to her use of a blood thinning medication.