Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hawthorne Healthcare & Wellness Centre, Lp during CMS and state inspections, most recent first.
A dietary aide was observed working in the kitchen without a hairnet, in violation of the facility's infection control policy requiring hair restraints in food preparation areas. The dietary manager acknowledged that this practice increases the risk of hair falling and cross contamination to food and utensils.
The facility failed to properly monitor orthostatic blood pressure for three residents, leading to incomplete assessments. A resident with hypotension had blood pressure readings not taken in the correct sequence, while another with schizophrenia had similar issues. A third resident on anti-psychotic medication had only systolic readings recorded, omitting necessary diastolic measurements. Staff confirmed these deficiencies, which are crucial for identifying changes and alerting physicians.
The facility failed to use the correct scoop size for serving mechanical soft diets, potentially affecting 29 residents' nutritional intake. The cook used a smaller scoop than specified in the menu, confirmed by the Dietary Supervisor and Registered Dietician, which could lead to decreased intake and weight loss.
A facility failed to update the care plan for a resident who self-removed his indwelling catheter twice. Despite the resident's ability to express ideas and understand others, and being independent with self-care, the care plan was not revised to address the self-removal incidents. The facility's policy required care plan updates for new problems or changes in condition, but no revisions were made to include monitoring for complications after the catheter was re-inserted.
A facility failed to document a change of condition after a resident self-removed his catheter for the second time. Despite the resident's ability to communicate and being independent, the facility did not complete the required Change in Condition form, as per their policy. The resident's medical history includes benign prostatic hyperplasia, bipolar disorder, and anxiety disorder. The RN confirmed that the form should have been completed, highlighting a lapse in protocol adherence.
A resident with a care plan requiring the use of a smoking apron was observed smoking without it, despite its availability. The Smoking Aide was unaware of the specific requirement for this resident, and the Director of Nursing confirmed the oversight. The facility's policy mandates individualized care plans for smoking residents, but this was not effectively communicated or implemented.
The facility failed to label a bottle of ClearLax with the date it was opened, as observed during a medication administration by an LVN. The LVN admitted the bottle should have been labeled to ensure timely removal after 30 days, in accordance with the facility's medication storage policy.
Failure to Enforce Hair Restraint Policy in Kitchen
Penalty
Summary
During an observation in the facility's kitchen, a dietary aide was seen working without a hairnet, contrary to the facility's policy and procedure on infection control for the dietary department. The aide stated she had removed her hairnet as she was coming to the kitchen door, but no hairnet was observed in her hand at the time. The dietary manager confirmed that not wearing a hairnet in the kitchen increases the risk of hair falling and cross contamination to foods and utensils. A review of the facility's infection control policy indicated that all staff are required to wear effective hair restraints, such as hats or hairnets, while in any kitchen and food storage areas.
Failure to Properly Monitor Orthostatic Blood Pressure
Penalty
Summary
The facility failed to obtain proper orthostatic blood pressure readings for three residents, which is necessary to determine if they have orthostatic hypotension. Resident 36, who was readmitted with diagnoses including failure to thrive and hypotension, had orders for orthostatic blood pressure monitoring every Saturday. However, the blood pressure readings recorded did not follow the correct procedure of taking measurements in the lying, sitting, and standing positions, as confirmed by a Licensed Vocational Nurse (LVN) during an interview. Resident 65, admitted with conditions such as muscle weakness and schizophrenia, also had orders for orthostatic blood pressure monitoring. The blood pressure readings for this resident similarly did not adhere to the required procedure, as they were not taken in the correct sequence of positions. The LVN acknowledged that the readings were not true orthostatic measurements, which are crucial for identifying changes in blood pressure and alerting physicians for necessary interventions. Resident 75, with diagnoses including anxiety disorder and Alzheimer's disease, had orders to monitor orthostatic blood pressure weekly due to anti-psychotic medication use. The Medication Administration Record showed that only systolic blood pressure was recorded, omitting the diastolic measurements necessary for a complete assessment. The Director of Nursing confirmed that this was not the correct documentation method, which hindered the ability to identify trends and notify the doctor as required by the orders.
Incorrect Scoop Size Used for Mechanical Soft Diets
Penalty
Summary
The facility failed to ensure the correct sized serving scoop was used for residents on mechanical soft diets, which could potentially lead to decreased nutritional intake and weight loss. During an observation in the kitchen, it was noted that the cook used a scoop size number 12, which is one-third of a cup, instead of the required scoop size number 10, which is three-eighths of a cup, for serving mechanical soft roast beef. This discrepancy was confirmed through a review of the Cooks Spreadsheet - Winter Menus and the facility's list of residents on mechanical soft diets, which indicated that 29 residents were affected by this practice. Interviews with the cook, the Dietary Supervisor, and the Registered Dietician confirmed the use of the incorrect scoop size. The cook acknowledged using the smaller scoop and recognized the importance of using the correct size to prevent residents from receiving less food, which could lead to weight loss. The Dietary Supervisor and Registered Dietician both emphasized that the menu's specified scoop size should be followed to ensure residents receive adequate nutrition. The facility's policy and procedure on menus, dated April 2014, also indicated that food served should adhere to the written menu.
Failure to Update Care Plan After Resident Self-Removes Catheter
Penalty
Summary
The facility failed to update the care plan for a resident who self-removed his indwelling catheter on two separate occasions. The resident, who was admitted with diagnoses including benign prostatic hyperplasia, bipolar disorder, and anxiety disorder, had the ability to express ideas and understand others, and was independent with self-care and mobility. Despite these incidents of self-removal of the catheter, the care plan, which was initially focused on keeping the resident free from catheter-related trauma, was not revised to address the new issue of self-removal. The facility's policy required care plans to be reviewed and revised upon the onset of new problems or changes in condition. However, after the resident self-removed the catheter on two occasions, the care plan was not updated to include monitoring for potential complications such as bleeding and low urine output. The physician was notified after each incident, and the catheter was re-inserted, but no changes were made to the care plan to prevent recurrence or address the resident's behavior.
Failure to Document Change of Condition After Catheter Removal
Penalty
Summary
The facility failed to complete a change of condition report after a resident, identified as Resident 79, self-removed his indwelling catheter for the second time. This incident was not documented in the Change in Condition form as required by the facility's policy. The resident's medical history includes benign prostatic hyperplasia, bipolar disorder, and anxiety disorder. Despite the resident's ability to express ideas and understand others, and being independent with self-care and mobility, the facility did not provide a detailed explanation of the incident or confirm if the physician and responsible party were notified. During a review of the resident's progress notes, it was found that the physician and responsible party were notified according to the notes, but the Change in Condition form was not completed. The facility's policy, revised in April 2015, mandates that documentation of a change in the resident's condition be maintained in the medical record and on the Twenty-Four-Hour report. The registered nurse acknowledged that the form should have been completed per facility protocol, indicating a lapse in following established procedures.
Failure to Provide Smoking Apron to Resident
Penalty
Summary
The facility failed to provide a smoking apron to a resident, as indicated in his care plan, which had the potential for the resident to burn himself. The resident, who has been at the facility for five years, was observed smoking a cigarette in the designated smoking area without wearing a smoking apron, despite one being available nearby. The resident expressed that he had never worn the apron and questioned the need to start now. The Smoking Aide (SA) responsible for overseeing the smoking area stated that she offers the apron to older, frail individuals whom she believes need it for safety, but she was not informed of specific residents who should wear it. The Director of Nursing (DON) confirmed that the resident's care plan, initiated in February 2022, required him to wear a smoking apron while smoking. The DON stated that the SA is responsible for offering the apron and should inform the staff if a resident refuses to wear it. The facility's policy and procedure on smoking residents, revised in July 2023, indicated that the interdisciplinary team (IDT) should develop an individualized plan of care for residents who smoke, including the use of smoking materials and required supervision. However, there was a lack of communication and implementation of the care plan, leading to the deficiency.
Failure to Label Medication Bottle
Penalty
Summary
The facility failed to label a bottle of ClearLax, a medication used to treat occasional constipation, with the date it was opened. This oversight was observed during a medication administration by an LVN, who used the unlabeled bottle. During an interview, the LVN acknowledged that the bottle should have been labeled upon opening to ensure it was removed from use after 30 days. The facility's policy and procedure for medication storage require that containers be dated when their original seal is broken, which was not followed in this instance.
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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 Hawthorne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Imperial Crest Health Care Center | 0.6 mi | — | 0 | 0 |
| Osage Healthcare & Wellness Centre | 1.5 mi | — | 25 | 0 |
| Centinela Skilled Nursing & Wellness Centre West | 1.5 mi | — | 18 | 0 |
| Camino Healthcare | 2 mi | — | 20 | 0 |
| Inglewood Health Care Center | 2.3 mi | — | 28 | 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 August 2026) and official state health department websites.