Almaden Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Almaden Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Jan 28, 2025

  Based on observation, interview, and record reviews, the facility failed to maintain a safe and functional environment when: 1. The toilet in Resident 9's room was clogged; 2. Resident 9's bathroom call light was broken; and, 3. The facility's three of four shower rooms had multiple broken tiles. These failures compromised residents' safety, well-being, and access to a properly maintained living environment. Findings: 1. During an observation and concurrent interview on 1/21/25, at 2:50 p.m., in Resident 9's room, a sign near the toilet indicated it was out of order. Resident 9 stated that the toilet had been clogged for weeks and that he had reported it to the staff. The Director of Nursing (DON), who was nearby immediately reported the issue to the Maintenance Director (MD) F. 2. […]

• No harm, potential for more than minimal, patternF695Jan 28, 2025

  Based on observation, interview and record review, the facility failed to provide proper oxygen (a colorless, odorless gas) care and treatment services for four of 18 sampled residents (Residents 168, 60, 268, and 29) when: 1. Resident 168 had an oxygen concentrator (a portable device that provides oxygen) at the bedside, but there was no oxygen signage posted on the door. 2. Resident 60 had an oxygen concentrator at the bedside, but there was no oxygen signage posted on the door. 3. Resident 268 had an oxygen concentrator at bedside, but the nasal cannula had no label, and no oxygen signage posted on the door. 4. Resident 29 had an oxygen concentrator at the bedside, but there was no oxygen signage posted on the door. […]

• No harm, potential for more than minimal, patternF812Jan 28, 2025

  Based on observation, interview, and record review, the facility failed to ensure safe food storage practices and sanitary conditions in the kitchen when: 1. Kitchen staff did not wear hair restraints while in the kitchen, 2. Five of seven green peppers were wrinkled and soft, one of 3 cucumbers soft, 3. Three opened spice containers and one vanilla extract bottle with expired dates, 4. Three of eight cutting boards had deep cut marks on their surface, and 5. Two of 18 cans of sliced peaches, one of 12 cans of sliced pears, one of 6 cans of fruit cocktail were dented, and one of three cans of nacho cheese sauce with expired date of [DATE], in the emergency food supplies. […]

• No harm, potential for more than minimal, patternF880Jan 28, 2025

  Based on observation, interview, and record review, the facility failed to ensure infection control practices were implemented when: 1. One Licensed Vocational Nurse (LVN) A failed to use the proper disinfectant (chemical liquid that destroys bacteria) to disinfect a shared (used for multiple residents) glucometer (blood glucose meter to measure and display the amount of sugar [glucose] in the blood) according to manufacturer's instructions and accepted professional standards for one resident; 2. One housekeeping staff failed to handle and transport dirty laundry properly; and 3. […]

• No harm, potential for more than minimal, patternF925Jan 28, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to keep the facility free of cockroaches and spiders when: 1. Roach and spider carcasses were observed in the kitchen, 2. No monitor log for deep cleaning of resident rooms reported to have sighting of roaches, and 3. Facility did not follow their facility's plan of correction regarding pest control. These failures had the potential to cause health hazards and food borne illness to residents. Findings: 1. During a kitchen tour on 1/22/25 at 8:47 a.m., accompanied by Administrator (ADM) D, three traps with roach carcasses were observed on the side and under the ice machine, dated 11/17. […]