Bonita Hills Post Acute

In the surveyor’s words

From the most serious findings on record at Bonita Hills Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 14, 2022

  Based on observation, interview, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen. * The facility failed to ensure proper labeling and dating of food items in the kitchen, dry storage, and refrigerator. * The facility failed to ensure proper storage of the employees' food in the kitchen. * The facility failed to ensure the kitchen equipment and utensils were clean. * The facility failed to ensure the cutting boards were in sanitary condition. * The facility failed to ensure the resident dishware had a smooth cleanable surface. * The facility failed to air dry the dietary equipment. * The facility failed to ensure the employee personal items were not stored in the food preparation area. […]

• No harm, potential for more than minimal, widespreadF842Jan 14, 2022

  Based on observation, interview, and medical record review, the facility failed to ensure the medical records for four of 12 final sampled residents (Residents 2, 18, 19, and 45) and 25 nonsampled residents (Residents 3, 6, 7, 9, 10, 11, 13, 15, 16, 20, 21, 22, 23, 24, 25, 26, 27, 30, 31, 32, 34, 35, 36, 42 and 43) were complete. * The facility failed to ensure RNA treatment records were complete and accurate for Residents 2, 3, 6, 7, 9, 10, 11, 13, 15, 16, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 30, 31, 32, 34, 35, 36, 42, 43, and 45 receiving RNA services for the months of November, December 2021, and January 2022. […]

• No harm, potential for more than minimal, patternF812Aug 11, 2025

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the food safety and sanitation guidelines were followed in the kitchen when: * Pasteurized eggs were not available for one resident (Resident 62) who requested fried over easy eggs daily with breakfast. * Four fry pans were not clean and had excessively worn surfaces.* Three steam table pans were stacked and stored wet.* One food prep sink did not have a backflow prevention. * Four cereal bins were outdated. These failures had the potential to cause food borne illnesses in a highly susceptible resident population who received food prepared in the facility kitchen. Findings: Review of the facility's matrix dated 8/5/25, showed 62 residents were on an oral diet. 1. […]

• No harm, potential for more than minimal, patternF812Jul 12, 2024

  Based on observation, interview, facility document review and facility P&P review, the facility failed to ensure the food safety and sanitation guidelines were followed when: 1. The kitchen equipment were not air dried before storage. 2. The cutting boards were not kept in sanitary condition and with cleanable surfaces. 3. A thawing process was not followed for meats. 4. The ice machine ice storage bin's splash guard and outside left area of ice machine were not clean. These failures posed the risk for food borne illnesses in highly susceptible resident population of 75 facility residents who received food prepared in the kitchen. Findings: Review of the facility matrix showed 75 of 77 residents consumed food prepared in the kitchen. 1. […]

• No harm, potential for more than minimal, patternF761Jan 14, 2022

  Based on observation, interview, and facility P&P review, the facility failed to store the drugs and biologicals in a safe manner. * An expired bottle of [MEDICATION(S)] oral concentrate (medication for anxiety) was observed in Medication Cart 1. In addition, a bottle of [MEDICATION(S)] oral solution was stored in the medication drawer and not refrigerated as per the manufacturer's instruction. * Multiple expired, unlabeled medications with no open dates were observed in Treatment Cart 1. * Multiple expired medications were observed in Medication Cart 2. […]