Sunny Hills Post Acute in La Mirada: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

According to the citation, Resident 1, a 95-year-old woman with Alzheimer's disease and dementia, left the facility unsupervised in April 2025 and was found at the end of the facility's driveway near the sidewalk. She had fallen out of her wheelchair onto the ground. The citation states she was taken to an acute care hospital, where she was found to have fractures (broken bones) of the nose, jawbone and three right ribs, a cut lip, a bump on the head, an injured right knee, and broken dentures and teeth implants.

CDPH found that the facility had assessed Resident 1 as an elopement risk (at risk of leaving without supervision) in August 2024 but did not develop a care plan to prevent it. Inspectors found the facility did not follow its own accident and elopement policies and did not make sure door locks and alarms were in place or that exit doors were monitored. According to the citation, CNA 1 told inspectors she left Resident 1 in her wheelchair in the hallway outside her room to help other residents, and about 20 minutes later the resident could not be found.

CDPH issued a Class A citation with a $25,000 penalty. The 2567 report states the federal deficiency was F689 (accident hazards, supervision and devices) at severity J, and inspectors called an Immediate Jeopardy. The 2567 report states the facility's removal plan included one-to-one supervision for Resident 1, staff training on wandering and elopement, more frequent door and alarm checks, elopement drills, and audits for three months.

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According to the citation, Resident 268 was readmitted to the facility in October 2023 from a long-term acute care hospital. She had type 2 diabetes, dementia and Alzheimer's disease, was fed through a feeding tube and depended on staff for all care. CDPH found the facility did not accurately copy her hospital discharge order for Insulin Glargine, a long-acting insulin. Instead, she was given 10 units of Insulin Glulisine, a fast-acting insulin, on two mornings, and staff did not check her blood sugar before giving it.

The citation states that around midday on the second day, LVN 1 found the resident "foaming at the mouth" with a blood sugar of 45 mg/dL, below the normal range of 70 to 100. Staff called a code blue and gave her glucagon, a drug that raises blood sugar. Inspectors found that paramedics gave her intravenous dextrose (sugar solution) and took her to an acute care hospital, where she was admitted to the intensive care unit for hypoglycemia (low blood sugar) and other concerns.

CDPH issued a Class A citation in the medication category, and the $25,000 penalty was trebled to $75,000. The 2567 report states the federal deficiency was F684 (quality of care) at severity G. According to the 2567 report, the same deficiency covered six residents. It included a resident who did not receive Milk of Magnesia (a laxative) after days without a bowel movement, two residents with pressure injuries (bed sores) who were not turned and repositioned, and residents whose oxygen tubing was applied too tightly.

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According to the citation, Resident 1, a 97-year-old man, was admitted in September 2023 with no pressure ulcers. He was bedbound, had severely impaired thinking and needed staff help to move in bed. His risk assessments showed he was at moderate risk for pressure ulcers (bed sores). CDPH opened an investigation after a complaint said the resident had a large wound at the base of the spine and was in pain.

CDPH found the facility did not assess his pressure ulcer risk on admission as its policy required, did not develop a care plan for his skin, and did not turn and reposition him every two hours. Inspectors found the medication record showed no repositioning for about two weeks after admission. LVN 1 told inspectors, "If it was not documented, it was not done." According to the citation, an unstageable pressure ulcer (a deep wound covered by dead tissue, so its full depth cannot be measured) was found on the tailbone area 11 days after admission. When inspectors observed it in October, it measured 9.0 by 6.5 centimeters.

The 2567 report states the treatment nurse said that if the resident had been repositioned every two hours, he might not have developed the ulcer, and the administrator stated the facility failed to prevent it. CDPH issued a Class A citation with a $25,000 penalty. The 2567 report states the federal deficiency was F686 (treatment and services to prevent and heal pressure ulcers) at severity G.

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According to the citation, Resident 1, a 78-year-old man, was admitted in June 2023 with pneumonia, high blood pressure, type 2 diabetes and severe sepsis with shock (a serious blood infection that lowers blood pressure). Three days after admission, he told Physical Therapist 1 he felt dizzy. The therapist tried twice to take his blood pressure with a wrist cuff and could not get a reading. The therapist told inspectors he informed a nurse but could not remember who or when.

CDPH found that staff did not assess Resident 1 after he reported dizziness and did not act on the failed blood pressure readings or notify his physician. According to the citation, a family member who was visiting said the resident looked pale, was freezing, and his eyes had rolled back, and that nobody came back to check on him after the therapist left. The family member signed him out against medical advice and took him to an acute care hospital. CDPH determined he received timely treatment only because the family member stepped in.

According to the citation, the hospital found low blood pressure and admitted him to the intensive care unit for hypovolemic shock (a condition in which fluid or blood loss leaves the heart unable to pump enough blood). He stayed in the hospital for 37 days. CDPH issued a Class A citation with a $25,000 penalty.

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According to the citation, Resident 1, a 71-year-old woman with a neck fracture and a history of falls, had a Full Code status, meaning her signed orders called for CPR if her heart stopped. Early one morning in February 2023, CNA 1 and LVN 1 found her face down on the floor, unresponsive and without a pulse. The citation states RN 1 told staff to put her back in bed, then left the room to check her code status at the nurses' station before telling staff to start CPR.

CDPH found staff did not start CPR immediately, as the facility's emergency policy and American Heart Association guidelines require, and that staff were not trained to know residents' code status in an emergency. The infection prevention nurse and the director of nursing told inspectors CPR should have started on the floor where she was found. According to the 2567 report, the paramedic report stated staff were not performing CPR when paramedics arrived. Paramedics pronounced Resident 1 dead, and their report noted she had last been seen by staff two hours earlier.

CDPH issued a Class A citation with a $60,000 penalty. The 2567 report states the federal deficiency was F678 (cardiopulmonary resuscitation) at severity J, and inspectors called an Immediate Jeopardy. The 2567 report states the facility's removal plan included an audit of every resident's code status, full code lists kept with the crash carts, one-on-one CPR retraining for the nurses involved, skills checks, and mock code drills twice a month for three months.

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According to the citation, Resident 1, an 82-year-old woman with severely impaired thinking, was taking Zyprexa, a psychotropic drug (one that affects brain activity) whose side effects include constipation. Her physician's orders called for staff to watch for side effects, including constipation. She also had as-needed orders for Milk of Magnesia, a Dulcolax suppository and a Fleet enema if she went without a bowel movement. CDPH investigated after a complaint that hospital staff found her with a "severe fecal impaction."

CDPH found the facility did not monitor Resident 1 for constipation as her care plans required, did not give the as-needed laxatives and enema as prescribed, and did not notify her physician that she was not having regular bowel movements. Inspectors found her care plan set a goal of a normal bowel movement at least once every three days and directed staff to keep the physician informed of any problems.

According to the citation, Resident 1 was transferred to an acute care hospital and diagnosed with a fecal impaction (a mass of hard, dry stool that cannot pass) and a bowel obstruction (a blockage of the intestine). At the hospital, she needed digital disimpaction (removal of stool by hand) and multiple enemas. CDPH issued a Class A citation with a $25,000 penalty. The 2567 report states the federal deficiencies were F758 (unnecessary psychotropic drugs and as-needed use) at severity G and F684 (quality of care) at severity G.

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