Boulder Creek Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF919May 20, 2022

  Based on observation and interview, the facility failed to ensure the call bell system alerted staff to a resident requesting an assistant when the call bell system only lighted up. As a result, call light may not have been answered in a timely manner. Findings: On 5/17/22 at 8:55 A.M., Resident 12 was interviewed. Resident 12 stated, I had to wait 2 hours to be changed after pressing the call light. On 5/17/22 at 9:535 A.M., Resident 46 was interviewed. Resident 46 stated, I waited 1 hour for the call bell to be answered. On 5/17/22 at 9:50 A.M., Resident 90 was interviewed. Resident 90 stated that his roommate waited 3 hours for someone to answer the call light. On 5/17/22 at 9:18 A.M., room 120 was toured. […]

• No harm, potential for more than minimal, patternF689Feb 14, 2025

  Based on observation, interview, and record review, the facility failed to provide an environment free from accident hazards for 28 of 28 sampled residents, when screws were observed protruding from handrails inside the facility. This failure had the potential to cause injury to all facility residents. Findings: On 2/13/25 and 2/14/25, observations were made of the handrails inside of the facility. A total of eight handrails were observed to have screws protruding through the interior aspect of the handrail. These screws were found to be at a height where an individual's hand grasping the handrail would contact the sharp end of the screw. During an interview on 2/13/25 at 3:36 P.M. […]

• No harm, potential for more than minimal, patternF812Feb 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure food safety and sanitation practices in dietary services were maintained with food storage, sanitation, and equipment maintenance according to standards of practice when: 1. One dented large can and two rusted large cans were found in the dry storage pantry. 2. A sink garbage disposal was not functioning and/or maintained in good working condition. 3. A frosting mix with a use by (U/B) date of [DATE] was found in the dry storage pantry. 4. Low-temperature dishwashing machine temperature did not reach sanitary temperature levels. These failures had the potential to cause widespread food borne illness among the 143 residents who received food from the kitchen. Findings: 1. […]

• No harm, potential for more than minimal, patternF814Feb 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure outdoor facility garbage and refuse (recyclable and non-recyclable trash) was not overflowing, and was secure with the dumpster's lids closed, for two facility dumpsters located outside the loading dock area near the kitchen hall exit. This failure had the potential for an unsafe environment for the residents and visitors due to possible pest infestation and spread of diseases in the facility. Findings: On 2/11/25 at 8:21 A.M., an observation and interview was conducted with the Dietary Supervisor (DS), outside the back kitchen hallway exit. […]

• No harm, potential for more than minimal, patternF925Feb 14, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control environment when the kitchen floor drain with food particles was observed infested with ants. This failure had the potential for ants to contaminate food and spread food-borne illnesses to all residents receiving food from the kitchen. The facility census was 143. Findings: According to the 2019 Centers for Disease Control, PEST CONTROL https://www.cdc.gov/infection-control/media/pdfs/Guideline-Environmental-H.pdf, stated .Cockroaches, flies and maggots, ants, mosquitoes, spiders, mites, midges [small fly-like insects], and mice are among the typical arthropod [insects with hard bodies like a shell] and vertebrate [back bones] pest populations found in health-care facilities. […]