Adventist Health Delano

In the surveyor’s words

From the most serious findings on record at Adventist Health Delano, in the surveyor’s own words.

• Actual harm, isolatedF685Jul 3, 2025

  Based on observation, interview, and record review, the facility failed to provide services to maintain vision for one of three sampled residents (Resident 1) when the facility failed to: 1. Administer Lumigan (prescription medicated eye drops that helps reduce intraocular pressure-the fluid pressure in the eyes. If the pressure is too high, it can cause irreversible vision loss) as ordered by the ophthalmologist (OPTH - medical doctors who specialize in all aspects of eye care). 2. Arrange the follow-up appointment with OPTH as ordered for continued eye assessment and care management. […]

• Actual harm, isolatedF687Oct 9, 2024

  Based on observation, interview, and record review, the facility failed to: 1. Ensure podiatry (the medical field that specializes in the diagnosis, treatment, and study of disorders affecting the foot, ankle, and lower leg) care and treatment for one of three sampled residents (Resident 1). This failure resulted in Resident 1 requiring surgical intervention (a procedure performed on the body to treat a medical condition) and Intravenous (IV - given through the vein) antibiotics (medicines that treat bacterial infections [invasion and growth of germs in the body] by killing bacteria or preventing them from reproducing) for the infection to his left (first and second) foot and right (fourth) foot. 2. […]

• Actual harm, isolatedF686Mar 16, 2023

  Based on interview and record review, the facility failed to implement their policy and procedures (P&P's) titled, Braden Scale and Prevention of Skin Breakdown and Turning Schedule, when staff did not turn and reposition three of nine sampled residents (Resident 3, Resident 19 and Resident 37) every two hours. This failure resulted in: 1. Resident 3 developed a new pressure ulcer (breakdown of skin and underlying tissue resulting from prolonged pressure and a loss of blood flow), stage II (partial skin loss, may look like a wearing away of the skin, a blister, or a shallow crater) on right hip. 2. […]

• No harm, potential for more than minimal, widespreadF761Jan 21, 2025

  Based on observation, interview, and record review, the facility failed to monitor medication room temperatures for 34 out of 34 (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, Resident 6, Resident 7, Resident 8, Resident 9, Resident 10, Resident 11, Resident 12, Resident 13, Resident 14, Resident 15, Resident 16, Resident 17, Resident 18, Resident 19, Resident 20, Resident 21, Resident 22, Resident 23, Resident 24, Resident 25, Resident 26, Resident 27, Resident 28, Resident 29, Resident 30, Resident 31, Resident 32, Resident 33, Resident 34) sampled residents. This failure had the potential to alter medication effectiveness (the ability of a medication to produce the desired effect). Findings: During a concurrent interview and record review on 1/22/25 at 3:48 p.m. […]

• No harm, potential for more than minimal, widespreadF725Apr 11, 2024

  Based on observation, interview, and record review, the facility failed to provide enough direct care staff to ensure the daily needs were met for four of four sampled residents (Resident 21, Resident 18, Resident 34, and Resident 31) when: 1. Resident 21, Resident 18, Resident 34, and Resident 31 were not turned every two hours. This failure had the potential for Resident 21, Resident 18, Resident 34, and Resident 31 to develop pressure injuries (damage that can occur as a result of being in the same position for extended periods of time). 2. Resident 21's call light was not answered timely. This failure had the potential for Resident 21 to feel devalued and helpless. 3. Resident 21 face and hands were not cleaned before meals without asking. […]