Aurora on France

In the surveyor’s words

From the most serious findings on record at Aurora on France, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 11, 2022

  Based on observation, interview, and document review, the facility failed to provide interventions to prevent elopement of 1 of 3 residents (R1) reviewed for elopement. This resulted in an immediate jeopardy (IJ) for R1 who eloped after making repeated attempts to leave the facility. Findings include: The IJ began on 1/5/22, when R1 eloped from the facility. R1 was found five blocks from the facility walking along a high traffic street and R1 had crossed over a freeway overpass. R1 was carrying his continuous positive airway pressure ([CONDITION(S)]) machine, and was wearing only a long-sleeved shirt, pajama pants, and shoes in subzero wind chill temperatures. The administrator and director of nursing (DON) were notified of the IJ at 3:50 p.m. on 1/11/22. […]

• No harm, potential for more than minimal, widespreadF812May 22, 2025

  Based on observation, interview, and record review, the facility failed to ensure food was properly stored in refrigeration units. In addition the facility failed to ensure dishes were properly air dried prior to stacking for storage. These deficient practices had the potential to impact all residents who consumed facility prepared food. Findings include: During a kitchen tour on 5/19/25 at 2:27 p.m., led by the culinary manager (CM) the following were noted: ---The bottom 3 racks on the right of the walk-in freezer were less than 6 inches from the floor of the freezer and held food. The middle rack bottom shelf touched the floor. There was a prep pan of raw whole turkeys on it. […]

• No harm, potential for more than minimal, widespreadF812Jun 20, 2024

  The facility failed to ensure dishware was cleaned and sanitized in a manner to reduce the risk of foodborne illness. This had potential to affect all 42 residents. Findings include: During observation and interview on 6/17/24 at 6:36 p.m., dietary (DA)-A loaded silverware, forks, and spoons in the dish washer. The dish washer temperature was 142 for wash cycle and 188 for rinse. Trays went through the washer, and the wash temperature was 142 and rinse temperature was 188. Plates went through the washer, and the washer temperature was 140 and the rinse temperature was 190. Items washed were being placed or stacked for later use. DA-B and DA-A referred to director of culinary (CD) and dining room coordinator (DRC) when asked about the dish washer temperatures. […]

• No harm, potential for more than minimal, patternF880May 22, 2025

  Based on observation and interview, the facility failed to ensure staff adhered to infection control standards including the use of personal protective equipment (PPE) in enhanced barrier precaution (EBP) and contact precaution rooms, as well as failing to properly perform hand washing and gloving for 3 of 3 residents (R208, R23, R259) reviewed for infection prevention and control. Findings include: R208: R208's admission Minimum Data Set (MDS) dated [DATE], identified intact cognition and diagnoses including non-pressure chronic ulcer of other part of the right foot with necrosis of muscle, gangrene, cellulitis of right lower limb, osteomyelitis, diabetes mellitus, peripheral vascular disease (PVD), chronic kidney disease. […]

• No harm, potential for more than minimal, patternF880Jan 19, 2021

  Based on observation, interview, and record review, the facility failed to ensure adherence to infection control practices to prevent the transmission of the COVID-19 as evidenced by failure to: 1) follow proper resident cohorting per CDC guidelines for four residents (R2, R3, R4, and R5); 2) appropriately use personal protective equipment, proper handling of garbage, perform hand hygiene and utilize gloves properly; and 3) properly disinfect shared medical equipment (blood pressure cuff, pulse oximeter, thermometer) between use by different residents (R6, R7). This had the potential to affect 11 residents on the second floor South Pod unit and 11 residents on third floor. Findings include: 1. A. […]