Bayshire Yorba Linda Post-Acute

In the surveyor’s words

From the most serious findings on record at Bayshire Yorba Linda Post-Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 15, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen. * The facility failed to ensure the sanitary condition of the hood over the stove was maintained. * The facility failed to ensure the kitchen utensils had a smooth cleanable surface and in good condition. * The facility failed to ensure the kitchenware and kitchen utensils were clean and free of food particles or residue. * The facility failed to ensure the cutting boards were kept in a sanitary condition and with cleanable surface. […]

• No harm, potential for more than minimal, patternF756Apr 15, 2026

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility's Consultant Pharmacist failed to identify and make recommendation for drug irregularities for three of 15 residents (final sampled Resident 19 and nonsampled Residents 17 and 30) reviewed for the medication administration. * Resident 17's drug regimen review failed to identify drug irregularities with the administration of levothyroxine sodium and lansoprazole (PPI medication used to treat GERD) together. * Resident 19's drug regimen review failed to identify drug irregularities with the administration of levothyroxine and pantoprazole sodium delayed release together. […]

• No harm, potential for more than minimal, patternF804Apr 15, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the food items were served in the appetizing temperatures. * The food temperature was above the recommended temperature for cold beverages and below the recommended temperature for hot food. * Test tray temperatures were below the recommended temperature for hot meat and vegetables. These failures had the potential for the residents not to eat the food served and could affect the residents nutritional status for 41 of 41 residents who received food from the kitchen . Findings: Review of the facility's P&P titled Trayline Setup and Service date revised 7/2/18, showed food temperatures should be palatable for residents receiving room trays. […]

• No harm, potential for more than minimal, patternF842Apr 15, 2026

  Based on interview, medical record review, and facility P&P review, the facility failed to ensure the medical records for five of 12 final sampled residents (Residents 2, 4, 10, 15, and 26) were accurate and complete. * The facility failed to ensure the POLST and social services notes contained the same information regarding the advance directive for Residents 2, 4, and 26. * The facility failed to ensure the social services assessment was completed upon admission for Resident 10. * The facility failed to ensure the behavior monitoring documentation was accurate for Resident 15. […]

• No harm, potential for more than minimal, patternF880Apr 15, 2026

  Based on observation, interview, and facility P&P review, the facility failed to maintain the infection prevention and control practices to help prevent the development and transmission of communicable diseases and infections. * LVN 5 failed to perform hand hygiene during the medication administration for 12 residents and blood glucose checks for seven residents. * LVN 5 failed to clean the glucometer between use for seven residents. * LVN 5 utilized an alcohol swab from the floor of an isolation room to wipe blood from the finger of Resident 35. […]